Healthcare Provider Details

I. General information

NPI: 1578917670
Provider Name (Legal Business Name): AHF OHIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 WILMINGTON AVE
DAYTON OH
45420-1989
US

IV. Provider business mailing address

5920 VENTURE DR SUITE 100
DUBLIN OH
43017-2166
US

V. Phone/Fax

Practice location:
  • Phone: 937-256-4663
  • Fax: 937-558-1810
Mailing address:
  • Phone: 614-760-7352
  • Fax: 614-760-7356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK T HAEMMERLE
Title or Position: PRESIDENT
Credential:
Phone: 614-799-4451