Provider Demographics
NPI:1043871106
Name:IRIS HOME HEALTH L.L.C.
Entity Type:Organization
Organization Name:IRIS HOME HEALTH L.L.C.
Other - Org Name:IRIS HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:ASHUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:614-772-5196
Mailing Address - Street 1:1110 MORSE RD STE 216
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6325
Mailing Address - Country:US
Mailing Address - Phone:614-772-5196
Mailing Address - Fax:614-394-8020
Practice Address - Street 1:1110 MORSE RD STE 216
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6325
Practice Address - Country:US
Practice Address - Phone:614-772-5196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health