Provider Demographics
NPI:1275956336
Name:HOMEREACH
Entity Type:Organization
Organization Name:HOMEREACH
Other - Org Name:OHIOHEALTH HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP REGIONAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-544-4066
Mailing Address - Street 1:5450 FRANTZ RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4135
Mailing Address - Country:US
Mailing Address - Phone:614-566-0850
Mailing Address - Fax:
Practice Address - Street 1:1713 MARION-MT. GILEAD ROAD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7842
Practice Address - Country:US
Practice Address - Phone:740-383-8095
Practice Address - Fax:740-383-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMER.23310332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0109531Medicaid
OH0593900003Medicare NSC