Provider Demographics
NPI:1982609970
Name:OHIO VALLEY HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:OHIO VALLEY HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-259-4706
Mailing Address - Street 1:205 W 6TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-2818
Mailing Address - Country:US
Mailing Address - Phone:330-385-2333
Mailing Address - Fax:330-385-9034
Practice Address - Street 1:205 W 6TH ST STE 1
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2818
Practice Address - Country:US
Practice Address - Phone:330-385-2333
Practice Address - Fax:330-385-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0060820Medicaid
KY000000156533OtherBLUECROSSBLUESHIELD
OH367134Medicare ID - Type Unspecified
WV000488000Medicaid