Provider Demographics
NPI:1225135122
Name:RIVER'S CROSSING HOME HEALTH, LLC
Entity Type:Organization
Organization Name:RIVER'S CROSSING HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VODRICK
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-238-0958
Mailing Address - Street 1:600 E RICH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5335
Mailing Address - Country:US
Mailing Address - Phone:614-447-1690
Mailing Address - Fax:614-447-2015
Practice Address - Street 1:2572 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1644
Practice Address - Country:US
Practice Address - Phone:614-447-1690
Practice Address - Fax:614-447-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health