Healthcare Provider Details
I. General information
NPI: 1558699124
Provider Name (Legal Business Name): HEALTH & HOMECARE CONCEPTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
353 S STATE ST
MARION OH
43302-5019
US
IV. Provider business mailing address
353 S STATE ST
MARION OH
43302-5019
US
V. Phone/Fax
- Phone: 740-383-4968
- Fax: 740-382-1206
- Phone: 740-383-4968
- Fax: 740-382-1206
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | RN180847 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
M
VEITH
Title or Position: PRESIDENT
Credential:
Phone: 740-383-4968