Healthcare Provider Details

I. General information

NPI: 1326580424
Provider Name (Legal Business Name): SAFE AT HOME ASSISTANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 11/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S 3RD ST
COLUMBUS OH
43215-5134
US

IV. Provider business mailing address

263 S MONROE AVE
COLUMBUS OH
43205-1777
US

V. Phone/Fax

Practice location:
  • Phone: 614-484-0814
  • Fax:
Mailing address:
  • Phone: 614-354-6392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENNAN LEHOTAY
Title or Position: PRESIDENT
Credential: RN
Phone: 614-484-0814