Provider Demographics
NPI:1861388720
Name:EXPAND HEALTH SKILLED AT HOME LLC
Entity type:Organization
Organization Name:EXPAND HEALTH SKILLED AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SENCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-579-3423
Mailing Address - Street 1:1252 YOUNGSTOWN WARREN RD STE A
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4650
Mailing Address - Country:US
Mailing Address - Phone:330-610-6886
Mailing Address - Fax:330-441-4096
Practice Address - Street 1:1252 YOUNGSTOWN WARREN RD STE A
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4650
Practice Address - Country:US
Practice Address - Phone:330-610-6886
Practice Address - Fax:330-441-4096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPAND HEALTH SKILLED AT HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based