Provider Demographics
NPI:1124000161
Name:HOMEREACH
Entity Type:Organization
Organization Name:HOMEREACH
Other - Org Name:OHIOHEALTH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-544-4414
Mailing Address - Street 1:6805 PERIMETER DR FL 1
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8690
Mailing Address - Country:US
Mailing Address - Phone:614-566-0888
Mailing Address - Fax:614-566-0880
Practice Address - Street 1:444 W UNION ST
Practice Address - Street 2:SUITE C
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2340
Practice Address - Country:US
Practice Address - Phone:740-331-7040
Practice Address - Fax:740-331-7050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIOHEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-16
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0350382Medicaid
36-7200Medicare PIN