Healthcare Provider Details

I. General information

NPI: 1275906612
Provider Name (Legal Business Name): OPTIONS HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 RIVERSIDE DR SUITE 200
COLUMBUS OH
43221-4024
US

IV. Provider business mailing address

2041 RIVERSIDE DR SUITE 200
COLUMBUS OH
43221-4024
US

V. Phone/Fax

Practice location:
  • Phone: 614-947-8888
  • Fax: 614-319-7539
Mailing address:
  • Phone: 614-947-8888
  • Fax: 614-319-7539

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MASTERNICK
Title or Position: PARTNER
Credential:
Phone: 614-947-8888