Provider Demographics
NPI:1669912044
Name:SOCHI HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:SOCHI HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHEOBIAN
Authorized Official - Middle Name:CHIDUBEM
Authorized Official - Last Name:OBIAKALUSI
Authorized Official - Suffix:
Authorized Official - Credentials:BSC, RN
Authorized Official - Phone:937-434-4004
Mailing Address - Street 1:4322 AIRWAY RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45431-1328
Mailing Address - Country:US
Mailing Address - Phone:937-434-4004
Mailing Address - Fax:937-732-5049
Practice Address - Street 1:4322 AIRWAY RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45431-1328
Practice Address - Country:US
Practice Address - Phone:937-434-4004
Practice Address - Fax:937-732-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0206325Medicaid
OH0206325Medicaid