Provider Demographics
NPI:1952665440
Name:L.A. HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:L.A. HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIAZIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-840-9300
Mailing Address - Street 1:1425 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3325
Mailing Address - Country:US
Mailing Address - Phone:614-840-9300
Mailing Address - Fax:614-840-9301
Practice Address - Street 1:1425 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3325
Practice Address - Country:US
Practice Address - Phone:614-840-9300
Practice Address - Fax:614-840-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2114760251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health