Provider Demographics
NPI:1265444806
Name:WEST COLUMBUS HOME HEATH SERVICE LLC
Entity Type:Organization
Organization Name:WEST COLUMBUS HOME HEATH SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:KADIR
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-419-7843
Mailing Address - Street 1:1973 ZETTLER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-6265
Mailing Address - Country:US
Mailing Address - Phone:614-419-7843
Mailing Address - Fax:
Practice Address - Street 1:1973 ZETTLER CENTER DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-6265
Practice Address - Country:US
Practice Address - Phone:614-419-7843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health