Healthcare Provider Details

I. General information

NPI: 1467658831
Provider Name (Legal Business Name): TNT'S DYNAMITE HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 E BROAD ST
COLUMBUS OH
43205-3500
US

IV. Provider business mailing address

1313 E BROAD ST
COLUMBUS OH
43205-3500
US

V. Phone/Fax

Practice location:
  • Phone: 614-257-1060
  • Fax: 614-257-1062
Mailing address:
  • Phone: 614-257-1060
  • Fax: 614-257-1062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1690116
License Number StateOH

VIII. Authorized Official

Name: MS. TINNA HARRIS
Title or Position: CEO
Credential:
Phone: 614-257-1060