Healthcare Provider Details

I. General information

NPI: 1952894990
Provider Name (Legal Business Name): VAKOLANE HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7512 SLATE RIDGE BLVD
REYNOLDSBURG OH
43068-8188
US

IV. Provider business mailing address

453 WATERBURY CT
COLUMBUS OH
43230-5309
US

V. Phone/Fax

Practice location:
  • Phone: 614-699-2969
  • Fax:
Mailing address:
  • Phone: 614-699-2969
  • 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: MR. GERVASE CHE NGALLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 740-644-1725