Provider Demographics
NPI:1528603305
Name:STONERIDGE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:STONERIDGE HOME HEALTH CARE LLC
Other - Org Name:STONERIDGE HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-446-3531
Mailing Address - Street 1:104 N HAMILTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2602
Mailing Address - Country:US
Mailing Address - Phone:614-446-3531
Mailing Address - Fax:
Practice Address - Street 1:104 N HAMILTON RD STE 1
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2602
Practice Address - Country:US
Practice Address - Phone:614-407-3225
Practice Address - Fax:614-810-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health