Provider Demographics
NPI:1265070247
Name:IFAT HOME HEALTHCARE
Entity type:Organization
Organization Name:IFAT HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-695-7930
Mailing Address - Street 1:3079 W BROAD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1397
Mailing Address - Country:US
Mailing Address - Phone:614-279-2933
Mailing Address - Fax:
Practice Address - Street 1:3079 W BROAD ST STE 6
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1397
Practice Address - Country:US
Practice Address - Phone:614-279-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health