Provider Demographics
NPI:1346536661
Name:CENTRAL OHIO LDERLY CARE PLUS LLC
Entity Type:Organization
Organization Name:CENTRAL OHIO LDERLY CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-374-6992
Mailing Address - Street 1:2615 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4088
Mailing Address - Country:US
Mailing Address - Phone:614-523-3261
Mailing Address - Fax:614-523-3260
Practice Address - Street 1:2615 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4088
Practice Address - Country:US
Practice Address - Phone:614-523-3261
Practice Address - Fax:614-523-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1647576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health