Provider Demographics
NPI:1407891740
Name:OHIO COMMUNITY HEALTH CARE INC
Entity Type:Organization
Organization Name:OHIO COMMUNITY HEALTH CARE INC
Other - Org Name:COMMUNITY DIRECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-258-8686
Mailing Address - Street 1:6699 TRI WAY DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2604
Mailing Address - Country:US
Mailing Address - Phone:513-336-6133
Mailing Address - Fax:513-336-6134
Practice Address - Street 1:4770 DUKE DR
Practice Address - Street 2:SUITE 195
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9436
Practice Address - Country:US
Practice Address - Phone:513-336-6133
Practice Address - Fax:513-336-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1289264251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0248557Medicaid
OH0248557Medicaid