Healthcare Provider Details

I. General information

NPI: 1144198177
Provider Name (Legal Business Name): HELTHAGE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 LINDEN AVE STE 180
DAYTON OH
45432-3058
US

IV. Provider business mailing address

4130 LINDEN AVE STE 180
DAYTON OH
45432-3058
US

V. Phone/Fax

Practice location:
  • Phone: 708-916-0844
  • Fax:
Mailing address:
  • Phone:
  • 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: ERNEST OZONWANKWO
Title or Position: CEO
Credential:
Phone: 708-916-0844