Provider Demographics
NPI:1255471512
Name:ABC OCHELTREE, INC
Entity Type:Organization
Organization Name:ABC OCHELTREE, INC
Other - Org Name:ABC STAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:DARIA
Authorized Official - Last Name:OCHELTREE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-939-4400
Mailing Address - Street 1:1100 BEECHER XING N
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4565
Mailing Address - Country:US
Mailing Address - Phone:614-939-4400
Mailing Address - Fax:614-939-4404
Practice Address - Street 1:1100 BEECHER XING N
Practice Address - Street 2:SUITE B
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4565
Practice Address - Country:US
Practice Address - Phone:614-939-4400
Practice Address - Fax:614-939-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health