Provider Demographics
NPI:1033443502
Name:DOMINION HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:DOMINION HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAUER
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:614-866-7400
Mailing Address - Street 1:5300 E MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2580
Mailing Address - Country:US
Mailing Address - Phone:614-866-7400
Mailing Address - Fax:614-866-7405
Practice Address - Street 1:5300 E MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2580
Practice Address - Country:US
Practice Address - Phone:614-866-7400
Practice Address - Fax:614-866-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1884127251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health