Provider Demographics
NPI:1205038999
Name:ST. MARY'S HOME HEALTH CARE
Entity Type:Organization
Organization Name:ST. MARY'S HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-598-8203
Mailing Address - Street 1:128 HALDY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2658
Mailing Address - Country:US
Mailing Address - Phone:614-493-2563
Mailing Address - Fax:
Practice Address - Street 1:128 HALDY AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-2658
Practice Address - Country:US
Practice Address - Phone:614-493-2563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health