Provider Demographics
NPI:1568742484
Name:ELDERHEALTH HOME CARE LTD.
Entity Type:Organization
Organization Name:ELDERHEALTH HOME CARE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:614-261-7600
Mailing Address - Street 1:4560 N HIGH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2638
Mailing Address - Country:US
Mailing Address - Phone:614-261-7600
Mailing Address - Fax:614-261-7606
Practice Address - Street 1:4560 N HIGH ST STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2638
Practice Address - Country:US
Practice Address - Phone:614-261-7600
Practice Address - Fax:614-261-7606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health