Healthcare Provider Details

I. General information

NPI: 1033417423
Provider Name (Legal Business Name): OHIO HOMEREACH HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 ROCHE DR 240B
COLUMBUS OH
43229-3272
US

IV. Provider business mailing address

5900 ROCHE DR 240B
COLUMBUS OH
43229-3272
US

V. Phone/Fax

Practice location:
  • Phone: 614-377-8336
  • Fax: 614-436-6580
Mailing address:
  • Phone: 614-377-8336
  • Fax: 614-436-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSEPH ACQUAH
Title or Position: REGISTERED NURSE
Credential:
Phone: 614-377-8336