Healthcare Provider Details

I. General information

NPI: 1841890886
Provider Name (Legal Business Name): ENRICHED CARE HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 10/29/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 E DUBLIN GRANVILLE RD STE 270
COLUMBUS OH
43229-3568
US

IV. Provider business mailing address

2021 E DUBLIN GRANVILLE RD STE 270
COLUMBUS OH
43229-3568
US

V. Phone/Fax

Practice location:
  • Phone: 614-432-1235
  • Fax:
Mailing address:
  • Phone: 614-432-1235
  • 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: HILAAL DAAD
Title or Position: MANAGER
Credential: NR
Phone: 614-432-1235