Healthcare Provider Details

I. General information

NPI: 1063763530
Provider Name (Legal Business Name): RIVER'S CROSSING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E MAIN ST
COLUMBUS OH
43205-1715
US

IV. Provider business mailing address

770 E MAIN ST
COLUMBUS OH
43205-1715
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. M.SALMAN KHAN
Title or Position: CEO
Credential:
Phone: 614-447-1690