Provider Demographics
NPI:1477319002
Name:SETAMOL HOMECARE AGENCY LLC
Entity Type:Organization
Organization Name:SETAMOL HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BIKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-401-9178
Mailing Address - Street 1:141 BRENDEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8961
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:141 BRENDEN PARK DR
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-8961
Practice Address - Country:US
Practice Address - Phone:614-401-9178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health