Healthcare Provider Details

I. General information

NPI: 1720332521
Provider Name (Legal Business Name): INREX HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2012
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6164 CLEVELAND AVE
COLUMBUS OH
43231-1614
US

IV. Provider business mailing address

6164 CLEVELAND AVE
COLUMBUS OH
43231-1614
US

V. Phone/Fax

Practice location:
  • Phone: 614-891-6594
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number2552107
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTONY G NJAGI
Title or Position: CEO
Credential:
Phone: 614-891-6594