Healthcare Provider Details

I. General information

NPI: 1710751466
Provider Name (Legal Business Name): OHIO CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 NOOR DR
DUBLIN OH
43016-7442
US

IV. Provider business mailing address

565 METRO PL S STE 300
DUBLIN OH
43017-5382
US

V. Phone/Fax

Practice location:
  • Phone: 614-432-8000
  • Fax:
Mailing address:
  • Phone: 614-432-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OSAMAH HABBOUSH
Title or Position: PRESIDENT
Credential:
Phone: 614-432-8000