Healthcare Provider Details

I. General information

NPI: 1346629276
Provider Name (Legal Business Name): OHIO VALLEY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15549 STATE ROUTE 170 STE 7
EAST LIVERPOOL OH
43920-9216
US

IV. Provider business mailing address

15549 STATE ROUTE 170 STE 7
EAST LIVERPOOL OH
43920-9216
US

V. Phone/Fax

Practice location:
  • Phone: 330-385-2333
  • Fax: 330-385-9034
Mailing address:
  • Phone: 330-385-2333
  • Fax: 330-385-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2395580
License Number StateOH

VIII. Authorized Official

Name: DR. PREM REDDY
Title or Position: OWNER
Credential:
Phone: 330-385-2333