Organization
EXTOL HAVEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE C UGWU (OWNER)
(216) 453-8991
Entity
Organization
Contact information
Practice address
2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
(216) 453-8855
Mailing address
19412 GARDENVIEW DR, MAPLE HEIGHTS, OH 44137-2342
(216) 505-3187
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/18/2024
Last updated
12/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us