Provider Demographics
NPI:1073072088
Name:HANDS ON COMFORT HOMECARE
Entity Type:Organization
Organization Name:HANDS ON COMFORT HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DACHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:614-843-4095
Mailing Address - Street 1:PO BOX 27072
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-0072
Mailing Address - Country:US
Mailing Address - Phone:614-843-4095
Mailing Address - Fax:
Practice Address - Street 1:3315 BEACHWORTH DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5715
Practice Address - Country:US
Practice Address - Phone:614-843-4095
Practice Address - Fax:614-675-8757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0187087Medicaid