Provider Demographics
NPI:1205002631
Name:QUALITY HOME HEALTH CARE OF COLUMBUS LLC
Entity Type:Organization
Organization Name:QUALITY HOME HEALTH CARE OF COLUMBUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-844-6666
Mailing Address - Street 1:2021 E DUBLIN GRANVILLE RD STE 228
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3568
Mailing Address - Country:US
Mailing Address - Phone:614-484-4666
Mailing Address - Fax:614-484-4667
Practice Address - Street 1:2021 E DUBLIN GRANVILLE RD STE 228
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3568
Practice Address - Country:US
Practice Address - Phone:614-484-4666
Practice Address - Fax:614-484-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3031838Medicaid
OH3031838Medicaid