Provider Demographics
NPI:1952887010
Name:DAVBRYN HEALTH CARE LLC
Entity Type:Organization
Organization Name:DAVBRYN HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-271-7247
Mailing Address - Street 1:5900 ROCHE DR STE 315
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3292
Mailing Address - Country:US
Mailing Address - Phone:614-845-5470
Mailing Address - Fax:614-845-5471
Practice Address - Street 1:5900 ROCHE DR STE 315
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3292
Practice Address - Country:US
Practice Address - Phone:614-845-5470
Practice Address - Fax:614-845-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0351899Medicaid