Provider Demographics
NPI:1689229932
Name:HOME CARE CONCIERGE, INC.
Entity Type:Organization
Organization Name:HOME CARE CONCIERGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-0505
Mailing Address - Street 1:6479 REFLECTIONS DR STE 160
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2374
Mailing Address - Country:US
Mailing Address - Phone:614-793-8845
Mailing Address - Fax:614-793-8852
Practice Address - Street 1:6479 REFLECTIONS DR STE 160
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2374
Practice Address - Country:US
Practice Address - Phone:614-793-8845
Practice Address - Fax:614-793-8852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty