Provider Demographics
NPI:1598089443
Name:TWILIGHT HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:TWILIGHT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RAGHE
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:EGAL
Authorized Official - Suffix:
Authorized Official - Credentials:BSC CHM
Authorized Official - Phone:614-270-3416
Mailing Address - Street 1:1415 DUBLIN GRANVILLE SUITE 217
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3327
Mailing Address - Country:US
Mailing Address - Phone:614-270-3416
Mailing Address - Fax:
Practice Address - Street 1:1415 E DUBLIN GRANVILLE RD STE 217
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3327
Practice Address - Country:US
Practice Address - Phone:614-270-3416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201005700064251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health