Provider Demographics
NPI:1952807158
Name:HALGAN HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:HALGAN HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:NUR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-446-1605
Mailing Address - Street 1:7885 OAK ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-5038
Mailing Address - Country:US
Mailing Address - Phone:614-446-1605
Mailing Address - Fax:
Practice Address - Street 1:6161 BUSCH BLVD STE 60
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2548
Practice Address - Country:US
Practice Address - Phone:614-468-1950
Practice Address - Fax:614-468-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000000Medicaid
OH1952807158Medicaid