Provider Demographics
NPI:1982928339
Name:PHILEMON HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PHILEMON HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAHLET
Authorized Official - Middle Name:BERHANU
Authorized Official - Last Name:WOLDESEMAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-414-7911
Mailing Address - Street 1:81 MILL STREET SUITE 300 OFFICE NUMBER 118
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1718
Mailing Address - Country:US
Mailing Address - Phone:614-414-7911
Mailing Address - Fax:614-414-0775
Practice Address - Street 1:81 MILL STREET SUITE 300 OFFICE NUMBER 118
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1718
Practice Address - Country:US
Practice Address - Phone:614-414-7911
Practice Address - Fax:614-414-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health