Provider Demographics
NPI:1417159336
Name:FAST TOTAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:FAST TOTAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRMA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-596-0383
Mailing Address - Street 1:3727 RUBYTHROAT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3672
Mailing Address - Country:US
Mailing Address - Phone:614-596-0383
Mailing Address - Fax:614-855-9531
Practice Address - Street 1:3727 RUBYTHROAT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3672
Practice Address - Country:US
Practice Address - Phone:614-596-0383
Practice Address - Fax:614-855-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health