Provider Demographics
NPI:1679252472
Name:ON THE GO SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:ON THE GO SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-530-5563
Mailing Address - Street 1:697 HILL RD N STE F
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9341
Mailing Address - Country:US
Mailing Address - Phone:614-829-8063
Mailing Address - Fax:
Practice Address - Street 1:697 HILL RD N STE F
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9341
Practice Address - Country:US
Practice Address - Phone:614-829-8063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care