Provider Demographics
NPI:1629263926
Name:EXCLUSIVE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:EXCLUSIVE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:E
Authorized Official - Last Name:NOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-496-8921
Mailing Address - Street 1:6119 E MAIN ST
Mailing Address - Street 2:STE 201
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3358
Mailing Address - Country:US
Mailing Address - Phone:614-496-8921
Mailing Address - Fax:
Practice Address - Street 1:6119 E MAIN ST
Practice Address - Street 2:STE 201
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3358
Practice Address - Country:US
Practice Address - Phone:614-496-8921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1723654261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center