Life Care At Home Of Washington, Inc in Cleveland - Home Health

Life Care At Home Of Washington, Inc - NPI 1063418093

Life Care At Home Of Washington, Inc is a Home Health in Cleveland, Tennessee. Life Care At Home Of Washington, Inc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Life Care At Home Of Washington, Inc is 1063418093. The last update date is 2013-01-29.

Life Care At Home Of Washington, Inc's current location address is 3001 Keith St Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234735256 and fax number 4233398356. The mailing address for Life Care At Home Of Washington, Inc is 3001 Keith St Nw, Cleveland, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Life Care At Home Of Washington, Inc
Address 3001 Keith St Nw, Cleveland, Tennessee
Phone Number 4234735256
Fax Number 4233398356
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP OF FINA
Authorized Official Name Rau Pam
Telephone Number 4234735280

NPI Number Detail

NPI Number 1063418093
Provider Enumeration Date 2005-06-23
Last Updated Date 2013-01-29

Provider Mailing Address Detail

Address 3001 Keith St Nw
City Cleveland
State Tennessee (TN)
Post Code 373123713
Phone Number 4234735256
Fax Number 4233398356

Provider's Primary Taxonomy Detail

Speciality Home Health
Taxonomy 251E00000X
Licence No IS364
Definition:
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1116 WA PREMERA BLUE CROSS
9044900 WA --

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FAQs about Life Care At Home Of Washington, Inc

What is the unique 10-digit identifier code issued to Life Care At Home Of Washington, Inc by the Centers for Medicare & Medicaid Services?

The Life Care At Home Of Washington, Inc has been assigned the NPI (National Provider Identifier) 1063418093 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Life Care At Home Of Washington, Inc is located?

The Life Care At Home Of Washington, Inc is situated at the following address: 3001 Keith St Nw, Cleveland, TN, 373123713.

What is the Life Care At Home Of Washington, Inc's specialty and taxonomy code?

The Life Care At Home Of Washington, Inc's specialty is Home Health, and the corresponding taxonomy code is 251E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063418093 to Life Care At Home Of Washington, Inc?

The Life Care At Home Of Washington, Inc received its 1063418093 assignment from the Centers for Medicare & Medicaid Services on 2005-06-23.

As of what date was the information pertaining to Life Care At Home Of Washington, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Life Care At Home Of Washington, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-29.

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