Provider Demographics
NPI:1326104530
Name:PROFESSIONAL HOME HEALTH CARE 2 INC.
Entity Type:Organization
Organization Name:PROFESSIONAL HOME HEALTH CARE 2 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-975-1924
Mailing Address - Street 1:1391 OAKLAND PARK AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3567
Mailing Address - Country:US
Mailing Address - Phone:614-975-1924
Mailing Address - Fax:
Practice Address - Street 1:1391 OAKLAND PARK AVE
Practice Address - Street 2:SUITE K
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3567
Practice Address - Country:US
Practice Address - Phone:614-975-1924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200634000958251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health