Healthcare Provider Details

I. General information

NPI: 1255921797
Provider Name (Legal Business Name): WILO HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 E DUBLIN GRANVILLE RD STE 305
COLUMBUS OH
43229-3319
US

IV. Provider business mailing address

1395 E DUBLIN GRANVILLE RD STE 305
COLUMBUS OH
43229-3319
US

V. Phone/Fax

Practice location:
  • Phone: 614-804-9239
  • Fax:
Mailing address:
  • Phone: 614-804-9239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HALIMO AHMED
Title or Position: OWNER
Credential:
Phone: 614-804-9239