Provider Demographics
NPI:1659604569
Name:SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:SENIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:HANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-374-1982
Mailing Address - Street 1:1110 MORSE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6325
Mailing Address - Country:US
Mailing Address - Phone:614-374-1982
Mailing Address - Fax:614-559-3923
Practice Address - Street 1:1110 MORSE RD STE 218
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6325
Practice Address - Country:US
Practice Address - Phone:614-374-1982
Practice Address - Fax:614-559-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200925100244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health