Provider Demographics
NPI:1407622335
Name:CENTRAL OHIO HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:CENTRAL OHIO HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-316-7629
Mailing Address - Street 1:470 W BROAD ST STE 1059
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2759
Mailing Address - Country:US
Mailing Address - Phone:614-316-7629
Mailing Address - Fax:
Practice Address - Street 1:470 W BROAD ST STE 1059
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2759
Practice Address - Country:US
Practice Address - Phone:614-316-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health