Provider Demographics
NPI:1649948217
Name:CINCINATI HOME HEALTH AGENCY
Entity type:Organization
Organization Name:CINCINATI HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-680-5876
Mailing Address - Street 1:906 PEPPERCORN PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5069
Mailing Address - Country:US
Mailing Address - Phone:614-680-5876
Mailing Address - Fax:
Practice Address - Street 1:906 PEPPERCORN PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-5069
Practice Address - Country:US
Practice Address - Phone:614-680-5876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health