Provider Demographics
NPI:1992677272
Name:PHD CARE HOME HEALTH
Entity type:Organization
Organization Name:PHD CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAY
Authorized Official - Suffix:
Authorized Official - Credentials:FNC-P
Authorized Official - Phone:216-482-7237
Mailing Address - Street 1:5676 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2916
Mailing Address - Country:US
Mailing Address - Phone:216-482-7237
Mailing Address - Fax:
Practice Address - Street 1:5676 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2916
Practice Address - Country:US
Practice Address - Phone:216-482-7237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREVENTATIVE HEALTHCARE DIRECT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty