Provider Demographics
NPI:1871293274
Name:MISSION HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MISSION HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DHUNGANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-794-3332
Mailing Address - Street 1:321 STARR LINE DR
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1050
Mailing Address - Country:US
Mailing Address - Phone:330-794-3332
Mailing Address - Fax:
Practice Address - Street 1:321 STARR LINE DR
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1050
Practice Address - Country:US
Practice Address - Phone:330-794-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health