Provider Demographics
NPI:1184010894
Name:KURI LEMMA
Entity Type:Organization
Organization Name:KURI LEMMA
Other - Org Name:KURI LEMMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOME HEALTH AIDE
Authorized Official - Prefix:
Authorized Official - First Name:KURI
Authorized Official - Middle Name:TEKA
Authorized Official - Last Name:LEMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-7257
Mailing Address - Street 1:550 S HAMILTON RD APT B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3170
Mailing Address - Country:US
Mailing Address - Phone:614-377-7257
Mailing Address - Fax:
Practice Address - Street 1:550 S HAMILTON RD APT B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3170
Practice Address - Country:US
Practice Address - Phone:614-377-7257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2540987311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2540987OtherPROVIDER NUMBER