Provider Demographics
NPI: | 1972958817 |
---|---|
Name: | HOME SWEET HOME ACE CARE LLC |
Entity type: | Organization |
Organization Name: | HOME SWEET HOME ACE CARE LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMIN OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RICHARD |
Authorized Official - Middle Name: | ANTHONY (TONY) |
Authorized Official - Last Name: | CONLEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 440-749-4195 |
Mailing Address - Street 1: | 26250 EUCLID AVE STE 517 |
Mailing Address - Street 2: | |
Mailing Address - City: | EUCLID |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 44132-3305 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 216-350-6320 |
Mailing Address - Fax: | 800-522-8026 |
Practice Address - Street 1: | 26250 EUCLID AVE STE 517 |
Practice Address - Street 2: | |
Practice Address - City: | EUCLID |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44132-3305 |
Practice Address - Country: | US |
Practice Address - Phone: | 440-413-6631 |
Practice Address - Fax: | 800-522-8026 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-04-28 |
Last Update Date: | 2025-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 3889825 | 251E00000X |
251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |