Provider Demographics
NPI:1053629899
Name:KOIROS HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:KOIROS HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:614-260-6898
Mailing Address - Street 1:1101 LOOKOUT LN
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9840
Mailing Address - Country:US
Mailing Address - Phone:614-436-4118
Mailing Address - Fax:
Practice Address - Street 1:1101 LOOKOUT LN
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9840
Practice Address - Country:US
Practice Address - Phone:614-436-4118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health