Provider Demographics
NPI:1467664888
Name:CENTRAL OHIO GERIATRIC CARE MANAGEMENT AND HOME HEALTH, INC
Entity Type:Organization
Organization Name:CENTRAL OHIO GERIATRIC CARE MANAGEMENT AND HOME HEALTH, INC
Other - Org Name:CENTRAL OHIO CARE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-263-2273
Mailing Address - Street 1:3620 N HIGH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3611
Mailing Address - Country:US
Mailing Address - Phone:614-263-2273
Mailing Address - Fax:614-263-1899
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3611
Practice Address - Country:US
Practice Address - Phone:614-263-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health