Provider Demographics
NPI:1255127825
Name:BALLANTRAE HOME CARE
Entity type:Organization
Organization Name:BALLANTRAE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-262-0162
Mailing Address - Street 1:6009 AVERY RD STE 49
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8823
Mailing Address - Country:US
Mailing Address - Phone:380-262-0162
Mailing Address - Fax:
Practice Address - Street 1:6009 AVERY RD STE 49
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8823
Practice Address - Country:US
Practice Address - Phone:380-262-0162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health