Provider Demographics
NPI:1548502941
Name:1ST STOP HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:1ST STOP HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRENA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-372-9126
Mailing Address - Street 1:4125 LEE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2143
Mailing Address - Country:US
Mailing Address - Phone:216-372-9126
Mailing Address - Fax:
Practice Address - Street 1:4125 LEE RD
Practice Address - Street 2:SUITE B
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2143
Practice Address - Country:US
Practice Address - Phone:216-372-9126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-23
Last Update Date:2013-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health