Healthcare Provider Details

I. General information

NPI: 1174331961
Provider Name (Legal Business Name): OHS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2024
Last Update Date: 12/25/2024
Certification Date: 12/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8665 LAURELTON PL
BROWNSBURG IN
46112-5808
US

IV. Provider business mailing address

8665 LAURELTON PL
BROWNSBURG IN
46112-5808
US

V. Phone/Fax

Practice location:
  • Phone: 317-332-2002
  • Fax:
Mailing address:
  • Phone: 317-332-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLASOJI OLADEHINDE
Title or Position: MANAGER
Credential:
Phone: 317-969-4543