Provider Demographics
NPI:1114624616
Name:PRO-HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:PRO-HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-764-6565
Mailing Address - Street 1:2931 E DUBLIN GRANVILLE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2002
Mailing Address - Country:US
Mailing Address - Phone:740-764-6565
Mailing Address - Fax:614-368-7289
Practice Address - Street 1:2931 E DUBLIN GRANVILLE RD STE 150
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2002
Practice Address - Country:US
Practice Address - Phone:740-764-6565
Practice Address - Fax:614-368-7289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health