Provider Demographics
NPI:1669782140
Name:OHC OF SW OHIO, LLC
Entity type:Organization
Organization Name:OHC OF SW OHIO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-843-4422
Mailing Address - Street 1:28315 KENSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-4177
Mailing Address - Country:US
Mailing Address - Phone:419-843-4422
Mailing Address - Fax:
Practice Address - Street 1:7601 PARAGON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45459-4074
Practice Address - Country:US
Practice Address - Phone:419-843-4422
Practice Address - Fax:419-843-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0057497Medicaid
OH0057497Medicaid
OH368247Medicare Oscar/Certification