Provider Demographics
NPI:1164793907
Name:CERID HOME HEALTH CARE
Entity Type:Organization
Organization Name:CERID HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:614-599-2731
Mailing Address - Street 1:2076 TANGLEWOOD CT APT B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2992
Mailing Address - Country:US
Mailing Address - Phone:614-599-2731
Mailing Address - Fax:
Practice Address - Street 1:5918 SHARON WOODS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2668
Practice Address - Country:US
Practice Address - Phone:614-599-2731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health