Provider Demographics
NPI:1477165843
Name:EQUAL HOME CARE, LLC
Entity Type:Organization
Organization Name:EQUAL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IJABO
Authorized Official - Middle Name:ABDULLAH
Authorized Official - Last Name:NUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-425-6454
Mailing Address - Street 1:5900 ROCHE DR STE LL28
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3272
Mailing Address - Country:US
Mailing Address - Phone:614-425-6454
Mailing Address - Fax:
Practice Address - Street 1:5900 ROCHE DR STE LL28
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3272
Practice Address - Country:US
Practice Address - Phone:614-425-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health