Healthcare Provider Details
I. General information
NPI: 1053676486
Provider Name (Legal Business Name): DHULMAR HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2012
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4889 SINCLAIR RD
COLUMBUS OH
43229-5432
US
IV. Provider business mailing address
4889 SINCLAIR RD
COLUMBUS OH
43229-5432
US
V. Phone/Fax
- Phone: 614-436-3900
- Fax:
- Phone: 614-436-3900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MR.
ABULKADIR
A
JAMA
Title or Position: PRESIDENT
Credential: OWNER
Phone: 614-436-3900