Provider Demographics
NPI:1730314113
Name:LAROCK HOME HEALTH, LLC
Entity Type:Organization
Organization Name:LAROCK HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:LEONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-522-9544
Mailing Address - Street 1:35 E GAY ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3138
Mailing Address - Country:US
Mailing Address - Phone:614-522-9544
Mailing Address - Fax:614-675-2552
Practice Address - Street 1:35 E GAY ST
Practice Address - Street 2:SUITE 224
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3138
Practice Address - Country:US
Practice Address - Phone:614-522-9544
Practice Address - Fax:614-675-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health