Provider Demographics
NPI:1295039618
Name:OURHEART HEALTH CARE SERIVCES LLC
Entity Type:Organization
Organization Name:OURHEART HEALTH CARE SERIVCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COIT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:1800-419-3561
Mailing Address - Street 1:89 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1927
Mailing Address - Country:US
Mailing Address - Phone:180-041-9356
Mailing Address - Fax:614-423-6765
Practice Address - Street 1:89 N 22ND ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1927
Practice Address - Country:US
Practice Address - Phone:180-041-9356
Practice Address - Fax:614-423-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health