Provider Demographics
NPI:1861603656
Name:SPECIALCAREHOMEHEALTHSERVICES,INC.
Entity type:Organization
Organization Name:SPECIALCAREHOMEHEALTHSERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICEMANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:KINN
Authorized Official - Suffix:
Authorized Official - Credentials:VICEPRESIDENT
Authorized Official - Phone:419-420-3535
Mailing Address - Street 1:910 TIFFIN AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-5858
Mailing Address - Country:US
Mailing Address - Phone:419-420-3535
Mailing Address - Fax:419-420-3530
Practice Address - Street 1:910 TIFFIN AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-5858
Practice Address - Country:US
Practice Address - Phone:419-420-3535
Practice Address - Fax:419-420-3530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health