Provider Demographics
NPI:1245568708
Name:HEALTHY LIFE HOME HEALTHCARE,LLC
Entity Type:Organization
Organization Name:HEALTHY LIFE HOME HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARHIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-865-3368
Mailing Address - Street 1:5454 CLEVELAND AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4021
Mailing Address - Country:US
Mailing Address - Phone:614-865-3368
Mailing Address - Fax:614-865-3372
Practice Address - Street 1:5454 CLEVELAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4021
Practice Address - Country:US
Practice Address - Phone:614-865-3368
Practice Address - Fax:614-865-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health