Provider Demographics
NPI:1801112321
Name:PATIENCE HEALTHCARE LLC
Entity type:Organization
Organization Name:PATIENCE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:POLING
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:614-441-4447
Mailing Address - Street 1:800 CROSS POINTE RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6687
Mailing Address - Country:US
Mailing Address - Phone:614-441-4447
Mailing Address - Fax:866-679-8958
Practice Address - Street 1:800 CROSS POINTE RD
Practice Address - Street 2:SUITE K
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6687
Practice Address - Country:US
Practice Address - Phone:614-441-4447
Practice Address - Fax:866-679-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0065586Medicaid
OH368368Medicare Oscar/Certification