Organization
CHS OF ASHTABULA INC
Active
Other names
Capital Health Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEN BERNSEN (PRESIDENT)
(937) 277-0505
Entity
Organization
Contact information
Practice address
1100 LAKE AVE, ASHTABULA, OH 44004
(440) 964-3332
Mailing address
1100 LAKE AVE, ASHTABULA, OH 44004-2930
(440) 964-3332
(440) 427-4014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079240
—
OH
Enumeration date
11/10/2010
Last updated
05/28/2024
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