Provider Demographics
NPI:1093494460
Name:LIFE CARE HEALTH SERVICE LLC
Entity type:Organization
Organization Name:LIFE CARE HEALTH SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSADAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-537-3495
Mailing Address - Street 1:5242 ANGOLA RD STE 170
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6336
Mailing Address - Country:US
Mailing Address - Phone:419-537-3495
Mailing Address - Fax:
Practice Address - Street 1:5242 ANGOLA RD STE 170
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6336
Practice Address - Country:US
Practice Address - Phone:419-537-3495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No344600000XTransportation ServicesTaxiGroup - Multi-Specialty