Provider Demographics
NPI:1730629007
Name:RESOURCE ALLIANCE HOME CARE LLC
Entity type:Organization
Organization Name:RESOURCE ALLIANCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-465-9977
Mailing Address - Street 1:2000 LEE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2572
Mailing Address - Country:US
Mailing Address - Phone:216-465-9977
Mailing Address - Fax:216-600-9577
Practice Address - Street 1:2000 LEE RD STE 24
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2559
Practice Address - Country:US
Practice Address - Phone:216-465-9977
Practice Address - Fax:216-600-9577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0204654Medicaid