Provider Demographics
NPI:1477829828
Name:WELL SPIRITED HOME HEALTHCARE
Entity Type:Organization
Organization Name:WELL SPIRITED HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:614-237-2075
Mailing Address - Street 1:1526 COBURG RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3220
Mailing Address - Country:US
Mailing Address - Phone:614-237-2075
Mailing Address - Fax:
Practice Address - Street 1:1526 COBURG RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3220
Practice Address - Country:US
Practice Address - Phone:614-237-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health