Provider Demographics
NPI:1417844044
Name:SOUTHWEST GENERAL HOME HEALTH LLC
Entity type:Organization
Organization Name:SOUTHWEST GENERAL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-299-1111
Mailing Address - Street 1:1050 FORRER BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-3640
Mailing Address - Country:US
Mailing Address - Phone:937-299-1111
Mailing Address - Fax:
Practice Address - Street 1:22021 BROOKPARK RD STE 122
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-3100
Practice Address - Country:US
Practice Address - Phone:216-861-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health