Provider Demographics
NPI:1275667487
Name:DAMAL HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:DAMAL HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YASIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-586-1871
Mailing Address - Street 1:2827 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-4409
Mailing Address - Country:US
Mailing Address - Phone:614-586-1871
Mailing Address - Fax:614-586-1872
Practice Address - Street 1:2827 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4409
Practice Address - Country:US
Practice Address - Phone:614-586-1871
Practice Address - Fax:614-586-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2523826163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2523826Medicaid
OH368080Medicare Oscar/Certification