Organization
ACTION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINE N BROAD RN (OWNER)
(234) 425-8849
Entity
Organization
Contact information
Practice address
5151 SCHULLER DR NE, CANTON, OH 44705-3054
(234) 425-8849
Mailing address
5151 SCHULLER DR NE, CANTON, OH 44705-3054
(234) 425-8849
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/11/2023
Last updated
07/10/2024
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