Provider Demographics
NPI:1609116342
Name:RESTORATION HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:RESTORATION HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YERBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-625-5304
Mailing Address - Street 1:5969 E LIVINGSTON AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-2907
Mailing Address - Country:US
Mailing Address - Phone:614-866-0195
Mailing Address - Fax:614-866-0215
Practice Address - Street 1:5969 E LIVINGSTON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2907
Practice Address - Country:US
Practice Address - Phone:614-866-0195
Practice Address - Fax:614-866-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-17
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2171087251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health