Healthcare Provider Details

I. General information

NPI: 1225135122
Provider Name (Legal Business Name): RIVER'S CROSSING HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2572 CLEVELAND AVE
COLUMBUS OH
43211-1644
US

IV. Provider business mailing address

600 E RICH ST
COLUMBUS OH
43215-5335
US

V. Phone/Fax

Practice location:
  • Phone: 614-447-1690
  • Fax: 614-447-2015
Mailing address:
  • Phone: 614-447-1690
  • Fax: 614-447-2015

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. VODRICK LEE PERRY
Title or Position: OWNER
Credential: R.N
Phone: 614-238-0958