Provider Demographics
NPI:1144205931
Name:OHIO HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:OHIO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-853-0271
Mailing Address - Street 1:5050 NEBRASKA AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-6197
Mailing Address - Country:US
Mailing Address - Phone:937-853-0271
Mailing Address - Fax:937-853-0274
Practice Address - Street 1:5050 NEBRASKA AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-6197
Practice Address - Country:US
Practice Address - Phone:937-853-0271
Practice Address - Fax:937-853-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1303426251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2322605Medicaid
OH367794Medicare Oscar/Certification