Provider Demographics
NPI:1255147401
Name:OHIO FAMILY CARE LLC
Entity type:Organization
Organization Name:OHIO FAMILY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:JOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-354-5537
Mailing Address - Street 1:2244 S HAMILTON RD STE 201G&H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4390
Mailing Address - Country:US
Mailing Address - Phone:614-354-5537
Mailing Address - Fax:
Practice Address - Street 1:2244 S HAMILTON RD STE 201G&H
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4390
Practice Address - Country:US
Practice Address - Phone:614-354-5537
Practice Address - Fax:614-604-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health