Provider Demographics
NPI:1538463054
Name:DYNAMIC HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:DYNAMIC HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:A
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-414-6087
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-3568
Mailing Address - Country:US
Mailing Address - Phone:614-344-7535
Mailing Address - Fax:614-344-0711
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 170
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4103
Practice Address - Country:US
Practice Address - Phone:614-344-7535
Practice Address - Fax:614-344-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071575Medicaid
OH368429Medicare PIN