Provider Demographics
NPI:1245865047
Name:POMANTE, RICHARD
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:POMANTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:OHIO HOME
Other - Middle Name:
Other - Last Name:RENOVATIONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3231
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-0105
Mailing Address - Country:US
Mailing Address - Phone:614-554-3951
Mailing Address - Fax:
Practice Address - Street 1:9220 SHAWNEE TRL
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-5012
Practice Address - Country:US
Practice Address - Phone:614-554-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHG01390171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications