Provider Demographics
NPI:1952799629
Name:AELA HOME CARE, LLC
Entity Type:Organization
Organization Name:AELA HOME CARE, LLC
Other - Org Name:HOME HELPERS AND DIRECT LINK 58794
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:JACOMET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-609-0194
Mailing Address - Street 1:579 WOODVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45419-3927
Mailing Address - Country:US
Mailing Address - Phone:937-609-0194
Mailing Address - Fax:
Practice Address - Street 1:579 WOODVIEW DR
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:OH
Practice Address - Zip Code:45419-3927
Practice Address - Country:US
Practice Address - Phone:937-609-0194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care