Healthcare Provider Details

I. General information

NPI: 1336456334
Provider Name (Legal Business Name): LINDAS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2010
Last Update Date: 09/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 PINELAND CT
COLUMBUS OH
43223-6221
US

IV. Provider business mailing address

1469 PINELAND CT
COLUMBUS OH
43223-6221
US

V. Phone/Fax

Practice location:
  • Phone: 614-274-9629
  • Fax:
Mailing address:
  • Phone: 614-274-9629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA SUE GRIMMETT
Title or Position: AIDE
Credential:
Phone: 614-274-9629