Provider Demographics
NPI:1992413660
Name:AT YOUR SERVICE HOME HEALTH LLC
Entity type:Organization
Organization Name:AT YOUR SERVICE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-358-5884
Mailing Address - Street 1:815 SUPERIOR AVE E STE 1202
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2711
Mailing Address - Country:US
Mailing Address - Phone:216-417-0884
Mailing Address - Fax:
Practice Address - Street 1:815 SUPERIOR AVE E STE 1202
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2711
Practice Address - Country:US
Practice Address - Phone:216-417-0884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health