Healthcare Provider Details

I. General information

NPI: 1588492672
Provider Name (Legal Business Name): INTRA-NATIONAL HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13831 NATIONAL RD SW
ETNA OH
43068-3356
US

IV. Provider business mailing address

13831 NATIONAL RD SW
ETNA OH
43068-3356
US

V. Phone/Fax

Practice location:
  • Phone: 614-930-7074
  • Fax: 614-645-0655
Mailing address:
  • Phone: 614-601-6127
  • Fax: 614-601-6160

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: DILLI RAM ADHIKARI
Title or Position: CEO
Credential:
Phone: 614-930-7074