Provider Demographics
NPI:1396038535
Name:ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-3175
Mailing Address - Street 1:1150 MORSE RD STE 331
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6327
Mailing Address - Country:US
Mailing Address - Phone:614-430-9616
Mailing Address - Fax:614-430-9602
Practice Address - Street 1:1150 MORSE RD STE 331
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-430-9616
Practice Address - Fax:614-430-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health