SPECIALIZED HOME CARE PROVIDERS, LLC (NPI# 1265841886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265841886 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED HOME CARE PROVIDERS, LLC |
| Other Organization Name | SPECIALIZED SENIOR CARE |
| Practice Address |
755 Boardman Canfield Rd Building J Unit 5 Youngstown OH 44512-4300 |
| Practice Telephone | 3307588740 |
| Practice Fax Number | 3307588741 |
| Mailing Telephone | 3307588740 |
| Mailing Fax Number | 3307588741 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | MR. MICHAEL WILLIAM CREATORE (CEO) |
| Authorized Official Telephone | 3307588740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Specialized Senior Care | Doing Business As Name - Organization |
| Street Address |
755 BOARDMAN CANFIELD RD BUILDING J UNIT 5 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639368665 | Francis M. Turocy M.d.m, Inc. | Family Medicine | 755 Boardman Canfield Rd, Suite F5, Youngstown, OH 44512-4300 | 2007-10-16 |
| 1962578385 | Nefertiti A Labib | Psychiatry & Neurology | 755 Boardman Canfield Rd, Ste H2, Youngstown, OH 44512 | 2006-11-28 |
| 1043275498 | Thomas D Sopkovich | Dentist | 755 Boardman Canfield Rd, Southbridge West Bldg L 1, Youngstown, OH 44512-7303 | 2006-04-19 |
| 1831166552 | Amarjeet Nagpaul | Neuromusculoskeletal Medicine & OMM | 755 Boardman Canfield Rd, Youngstown, OH 44512-4300 | 2006-03-01 |
| 1265422513 | Forum Health Enterprises | Neuromusculoskeletal Medicine, Sports Medicine | 755 Boardman Canfield Rd, Bldg P Suite#1, Youngstown, OH 44512-4300 | 2005-10-27 |
| 1164428678 | Eric N Hagberg | Audiologist | 755 Boardman Canfield Rd, South Bridge West, C1, Youngstown, OH 44512-4300 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120648 | Carla M Robinson | Home Health | 1525 Ford Ave, Youngstown, OH 44504-1515 | 2020-09-28 |
| 1124635826 | Kathryn Schuller | Home Health | 285 E Judson Ave, Youngstown, OH 44507-1938 | 2020-09-26 |
| 1265049274 | Jeanne Yvette Ballard | Home Health | 4231 New Rd, Youngstown, OH 44515-4692 | 2020-09-24 |
| 1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
| 1518575141 | Tawana Lakeisha Ellis | Home Health | 229 Outlook Ave, Youngstown, OH 44504-1846 | 2020-07-20 |
| 1669090726 | Deveeta R Kelly | Home Health | 724 E Laclede Ave, Youngstown, OH 44502-2344 | 2020-07-06 |
| 1861017030 | Essence Monique Cole | Home Health | 108 S Glenellen Ave, Youngstown, OH 44509-2707 | 2020-06-12 |
| 1306461819 | Brianna Fortner | Home Health | 4521 Deer Creek Ct, Youngstown, OH 44515-5464 | 2020-06-10 |
| 1720602741 | Marangeli Rivera | Home Health | 2415 Hubbard Rd, Youngstown, OH 44505-3152 | 2020-06-05 |
| 1073137667 | Hannah Christine Walden | Home Health | 449 N Worthington St, Youngstown, OH 44510-1545 | 2020-05-30 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on SPECIALIZED HOME CARE PROVIDERS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.