Healthcare Provider Details

I. General information

NPI: 1144651795
Provider Name (Legal Business Name): KHERE HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 JOHN G MCCOY CIR
COLUMBUS OH
43224-4152
US

IV. Provider business mailing address

1213 JOHN G MCCOY CIR
COLUMBUS OH
43224
US

V. Phone/Fax

Practice location:
  • Phone: 614-377-4747
  • Fax: 614-414-7809
Mailing address:
  • Phone: 614-377-4747
  • Fax: 614-414-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAYMUNA MAHAMUD YUSUF
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-377-4747