Provider Demographics
NPI:1356856223
Name:ATLANTIC OCEAN HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ATLANTIC OCEAN HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NALLEYAH
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:GUNTANE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:614-313-8323
Mailing Address - Street 1:5064 EDGELEY DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3410
Mailing Address - Country:US
Mailing Address - Phone:614-429-9337
Mailing Address - Fax:
Practice Address - Street 1:5064 EDGELEY DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3410
Practice Address - Country:US
Practice Address - Phone:614-429-9337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health