Provider Demographics
NPI:1326621517
Name:MATTAN HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:MATTAN HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUZAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:YARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-369-8859
Mailing Address - Street 1:6161 BUSCH BLVD STE 84
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2548
Mailing Address - Country:US
Mailing Address - Phone:614-369-8859
Mailing Address - Fax:
Practice Address - Street 1:6161 BUSCH BLVD STE 84
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2548
Practice Address - Country:US
Practice Address - Phone:614-369-8859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health