Provider Demographics
NPI:1902317977
Name:OGHOSA HOMECARE AND TRANSPORTATION SERVIES LLC
Entity Type:Organization
Organization Name:OGHOSA HOMECARE AND TRANSPORTATION SERVIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADESUWA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-261-0880
Mailing Address - Street 1:25701 N LAKELAND BLVD STE 206A
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-2451
Mailing Address - Country:US
Mailing Address - Phone:216-261-0880
Mailing Address - Fax:216-261-3910
Practice Address - Street 1:25701 N LAKELAND BLVD STE 206A
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2451
Practice Address - Country:US
Practice Address - Phone:216-261-0880
Practice Address - Fax:216-261-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0090724Medicaid