Provider Demographics
NPI:1720417991
Name:ALLIED HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:ALLIED HOME HEALTH AGENCY
Other - Org Name:ALLIED HOME HEALTH AGENCY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIGANI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-843-0066
Mailing Address - Street 1:1415 E DUBLINE GRANVILLE ST 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43226
Mailing Address - Country:US
Mailing Address - Phone:614-843-0066
Mailing Address - Fax:
Practice Address - Street 1:1415 E DUBLIN GRANVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3321
Practice Address - Country:US
Practice Address - Phone:614-843-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty