Provider Demographics
NPI:1336326115
Name:INDEPENDANT LIFE HOME HEALTH CARE LTD
Entity Type:Organization
Organization Name:INDEPENDANT LIFE HOME HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:OBENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-404-0301
Mailing Address - Street 1:9936 GRASSCREEK CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2010
Mailing Address - Country:US
Mailing Address - Phone:513-404-0301
Mailing Address - Fax:513-661-0672
Practice Address - Street 1:9936 GRASSCREEK CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2010
Practice Address - Country:US
Practice Address - Phone:513-404-0301
Practice Address - Fax:513-661-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1750910251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health