Provider Demographics
NPI:1679826432
Name:PATIENCE HOME HEALTHCARE SERVICE LLC
Entity Type:Organization
Organization Name:PATIENCE HOME HEALTHCARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIEBONAM
Authorized Official - Middle Name:NDIDIAMAKA
Authorized Official - Last Name:EZIRIRM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-279-8075
Mailing Address - Street 1:3184 W BROAD ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1327
Mailing Address - Country:US
Mailing Address - Phone:614-279-8075
Mailing Address - Fax:614-279-8574
Practice Address - Street 1:3184 W BROAD ST
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1327
Practice Address - Country:US
Practice Address - Phone:614-279-8075
Practice Address - Fax:614-279-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369038Medicare Oscar/Certification