Provider Demographics
NPI:1053084848
Name:CENTRAL OHIO SPECIALTY CARE, LLC
Entity Type:Organization
Organization Name:CENTRAL OHIO SPECIALTY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER/DIR. GOVT RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KALOGERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-790-0200
Mailing Address - Street 1:2349 WESTBROOKE DR BLDG A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9557
Mailing Address - Country:US
Mailing Address - Phone:614-790-0200
Mailing Address - Fax:
Practice Address - Street 1:2349 WESTBROOKE DR BLDG A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9557
Practice Address - Country:US
Practice Address - Phone:614-790-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED MEDICAL EQUIPMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health