Provider Demographics
NPI:1518505502
Name:CLEARCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:CLEARCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEQA
Authorized Official - Middle Name:YUSUF
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-757-3207
Mailing Address - Street 1:3280 MORSE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6175
Mailing Address - Country:US
Mailing Address - Phone:614-934-7025
Mailing Address - Fax:
Practice Address - Street 1:3280 MORSE RD STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6175
Practice Address - Country:US
Practice Address - Phone:619-757-3207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health