Provider Demographics
NPI:1013356039
Name:OHC OF NE OHIO LLC
Entity Type:Organization
Organization Name:OHC OF NE OHIO LLC
Other - Org Name:OHIOANS HOME HEALTHCARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR PAYOR RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-843-4422
Mailing Address - Street 1:6420 E MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2357
Mailing Address - Country:US
Mailing Address - Phone:614-577-1212
Mailing Address - Fax:614-861-8026
Practice Address - Street 1:410 PARK AVE W STE 1
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3121
Practice Address - Country:US
Practice Address - Phone:419-843-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2798601Medicaid