Provider Demographics
NPI:1639322902
Name:CENTRAL OHIO HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:CENTRAL OHIO HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-284-1197
Mailing Address - Street 1:5340 E MAIN ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2574
Mailing Address - Country:US
Mailing Address - Phone:614-284-1197
Mailing Address - Fax:614-759-1391
Practice Address - Street 1:5340 E MAIN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2574
Practice Address - Country:US
Practice Address - Phone:614-284-1197
Practice Address - Fax:614-759-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health