Provider Demographics
NPI:1427398049
Name:MID-OHIO HOMECARE SERVICES LTD
Entity Type:Organization
Organization Name:MID-OHIO HOMECARE SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUMANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-515-7537
Mailing Address - Street 1:1330 ATCHESON ST
Mailing Address - Street 2:ROOM 109
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1118
Mailing Address - Country:US
Mailing Address - Phone:614-515-7537
Mailing Address - Fax:
Practice Address - Street 1:1330 ATCHESON ST
Practice Address - Street 2:ROOM 109
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1118
Practice Address - Country:US
Practice Address - Phone:614-515-7537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health