Healthcare Provider Details

I. General information

NPI: 1285389023
Provider Name (Legal Business Name): LAAS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 ROCHE DR STE 260
COLUMBUS OH
43229-3277
US

IV. Provider business mailing address

5900 ROCHE DR STE 260
COLUMBUS OH
43229-3277
US

V. Phone/Fax

Practice location:
  • Phone: 619-735-8278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: FARHIYA ABDI
Title or Position: DIRECTOR
Credential:
Phone: 619-735-8278