Healthcare Provider Details

I. General information

NPI: 1841731809
Provider Name (Legal Business Name): HOME REMEDY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 NORTHWOODS BLVD STE A
COLUMBUS OH
43235-7473
US

IV. Provider business mailing address

130 NORTHWOODS BLVD STE A
COLUMBUS OH
43235-7473
US

V. Phone/Fax

Practice location:
  • Phone: 614-506-7825
  • Fax: 614-388-5678
Mailing address:
  • Phone: 614-506-7825
  • Fax: 614-388-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREW ERKIS
Title or Position: OWNER
Credential: PH.D
Phone: 614-596-5437