Healthcare Provider Details

I. General information

NPI: 1770339244
Provider Name (Legal Business Name): SOPHIA HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 WAGON AVE
PATASKALA OH
43062-8061
US

IV. Provider business mailing address

479 WAGON AVE
PATASKALA OH
43062-8061
US

V. Phone/Fax

Practice location:
  • Phone: 614-972-4224
  • Fax:
Mailing address:
  • Phone: 614-377-0984
  • Fax:

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: AMAL MOHAMED
Title or Position: CEO/OWNER
Credential:
Phone: 614-377-0984