Provider Demographics
NPI:1245883255
Name:OHIO HEALTHCARE AGENCY, LLP
Entity type:Organization
Organization Name:OHIO HEALTHCARE AGENCY, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-805-0879
Mailing Address - Street 1:1901 E DUBLIN GRANVILLE RD STE 304
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3539
Mailing Address - Country:US
Mailing Address - Phone:614-500-2638
Mailing Address - Fax:
Practice Address - Street 1:1901 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3539
Practice Address - Country:US
Practice Address - Phone:614-805-0879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health