Provider Demographics
NPI:1972807634
Name:SUPREME TOUCH HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:SUPREME TOUCH HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GBOLAGA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKINBOYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:614-783-1115
Mailing Address - Street 1:2547 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-3324
Mailing Address - Country:US
Mailing Address - Phone:614-488-2266
Mailing Address - Fax:614-488-3004
Practice Address - Street 1:2547 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3324
Practice Address - Country:US
Practice Address - Phone:614-488-2266
Practice Address - Fax:614-488-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0056615Medicaid
OH0011HHSMedicaid