Provider Demographics
NPI:1750408340
Name:CENTRAL OHIO HEALTH CARE SYSTEMS, LLC
Entity type:Organization
Organization Name:CENTRAL OHIO HEALTH CARE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GENI
Authorized Official - Middle Name:
Authorized Official - Last Name:GABAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-235-8096
Mailing Address - Street 1:33 S JAMES RD STE 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1065
Mailing Address - Country:US
Mailing Address - Phone:614-235-8096
Mailing Address - Fax:614-235-8098
Practice Address - Street 1:3303 SULLIVANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1805
Practice Address - Country:US
Practice Address - Phone:614-235-8096
Practice Address - Fax:614-235-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1750408340OtherNPI
OH2717788Medicaid