Healthcare Provider Details

I. General information

NPI: 1336149913
Provider Name (Legal Business Name): HONOR HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E MAIN ST FL 2
CIRCLEVILLE OH
43113-1767
US

IV. Provider business mailing address

120 E MAIN ST FL 2
CIRCLEVILLE OH
43113-1726
US

V. Phone/Fax

Practice location:
  • Phone: 740-477-6842
  • Fax: 740-474-5106
Mailing address:
  • Phone: 740-477-6842
  • Fax: 740-474-5106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: RICH KELLER
Title or Position: CEO
Credential:
Phone: 917-763-6945