Provider Demographics
NPI:1922778877
Name:HOME FINISH LINE LLC
Entity Type:Organization
Organization Name:HOME FINISH LINE LLC
Other - Org Name:HOME FINISH LINE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAREQ
Authorized Official - Middle Name:ABED
Authorized Official - Last Name:KADHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-822-0763
Mailing Address - Street 1:5696 KILBURY LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8398
Mailing Address - Country:US
Mailing Address - Phone:614-822-0763
Mailing Address - Fax:
Practice Address - Street 1:5696 KILBURY LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8398
Practice Address - Country:US
Practice Address - Phone:614-822-0763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty