Provider Demographics
NPI:1568215374
Name:AHF OHIO INC.
Entity Type:Organization
Organization Name:AHF OHIO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:J MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAEMMERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-799-4447
Mailing Address - Street 1:5920 VENTURE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2166
Mailing Address - Country:US
Mailing Address - Phone:614-799-4447
Mailing Address - Fax:
Practice Address - Street 1:264 WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1989
Practice Address - Country:US
Practice Address - Phone:937-256-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0177695Medicaid