Provider Demographics
NPI:1053712422
Name:CARESTAFF OHIO HOME HEALTH AND STAFFING LLC
Entity type:Organization
Organization Name:CARESTAFF OHIO HOME HEALTH AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:RIZOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-433-3000
Mailing Address - Street 1:20 TAHLEQUAH TRL
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-1165
Mailing Address - Country:US
Mailing Address - Phone:513-433-3000
Mailing Address - Fax:513-433-3009
Practice Address - Street 1:20 TAHLEQUAH TRL
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-1165
Practice Address - Country:US
Practice Address - Phone:513-433-3000
Practice Address - Fax:513-433-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health