Healthcare Provider Details

I. General information

NPI: 1003587460
Provider Name (Legal Business Name): DIAL SUPPORTIVE HOMECARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 09/26/2021
Certification Date: 09/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2558 LYNDEN CASTLE PKWY APT C
COLUMBUS OH
43219-6262
US

IV. Provider business mailing address

2558 LYNDEN CASTLE PKWY APT C
COLUMBUS OH
43219-6262
US

V. Phone/Fax

Practice location:
  • Phone: 614-377-6083
  • Fax:
Mailing address:
  • Phone: 614-377-6083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMILA J KARIM
Title or Position: CEO/ OWNER
Credential:
Phone: 614-377-6083