Provider Demographics
NPI:1659037802
Name:PREFECT PIK HOMECARE LLC
Entity Type:Organization
Organization Name:PREFECT PIK HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAMMELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-205-7916
Mailing Address - Street 1:3737 EASTON MARKET # 1001
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6023
Mailing Address - Country:US
Mailing Address - Phone:614-205-7916
Mailing Address - Fax:
Practice Address - Street 1:5717 SPRUCE TREE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-7751
Practice Address - Country:US
Practice Address - Phone:614-205-7916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care