Healthcare Provider Details

I. General information

NPI: 1679112684
Provider Name (Legal Business Name): INTRA-NATIONAL HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 E TALLMADGE AVE
AKRON OH
44310-3265
US

IV. Provider business mailing address

1279 E DUBLIN GRANVILLE RD
COLUMBUS OH
43229-3300
US

V. Phone/Fax

Practice location:
  • Phone: 616-710-7258
  • Fax:
Mailing address:
  • Phone:
  • 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: DILLI ADHIKARI
Title or Position: OWNER
Credential:
Phone: 616-710-7258