Provider Demographics
NPI:1447576863
Name:PRIORITY HOME HEALTH LLC.
Entity Type:Organization
Organization Name:PRIORITY HOME HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:KAMIL
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-363-0962
Mailing Address - Street 1:6161 BUSCH BLVD
Mailing Address - Street 2:STE 93
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2508
Mailing Address - Country:US
Mailing Address - Phone:612-363-0962
Mailing Address - Fax:614-888-7968
Practice Address - Street 1:6161 BUSCH BLVD
Practice Address - Street 2:STE 93
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2508
Practice Address - Country:US
Practice Address - Phone:612-363-0962
Practice Address - Fax:614-888-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1927559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health