Provider Demographics
NPI:1881030708
Name:ADVANTAGE HOME HEALTH CARE PLUS
Entity Type:Organization
Organization Name:ADVANTAGE HOME HEALTH CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:MAHAMED SHIRE
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-430-9616
Mailing Address - Street 1:1150 MORSE RD
Mailing Address - Street 2:111
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6327
Mailing Address - Country:US
Mailing Address - Phone:614-430-9616
Mailing Address - Fax:614-430-9602
Practice Address - Street 1:1150 MORSE RD
Practice Address - Street 2:111
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-430-9616
Practice Address - Fax:614-430-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-18
Last Update Date:2013-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health