Provider Demographics
NPI:1598004384
Name:COLUMBUS FAMILY HEALTH CARE PLUS LLC
Entity Type:Organization
Organization Name:COLUMBUS FAMILY HEALTH CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:614-477-8256
Mailing Address - Street 1:33 E PARK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2301
Mailing Address - Country:US
Mailing Address - Phone:614-794-5007
Mailing Address - Fax:614-794-5008
Practice Address - Street 1:33 E PARK ST STE 2
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2301
Practice Address - Country:US
Practice Address - Phone:614-794-5007
Practice Address - Fax:614-794-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2891812253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care