Homecare 1 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMECARE 1 LLC

Practice address

60 Santin Cir
Bedford, OH 44146-3403

Phone

(216) 203-3323

NPI assigned

Dec 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Blackman

Title

Owner

Phone

(216) 203-3323

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1649818089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SANTIN CIR",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SANTIN CIR",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463403",
            "telephone_number": "216-203-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-203-3323"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demario Hinton
• Kerry A Hinton, STNA
• Angela Hollis
• Gary Holmes Jr.
• Masoumeh Homafar
• Michael Anthony Houston
• Andrew Hover
• Mario Howard
• Stephanie Hubbard
• Wilder Hudson

• In Home Supportive Care Agency in Bedford, OH
• Providers in Bedford, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.