Healthcare Provider Details

I. General information

NPI: 1386183564
Provider Name (Legal Business Name): OVM HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 US HIGHWAY 62 AND 68
RIPLEY OH
45167-8650
US

IV. Provider business mailing address

5280 US HIGHWAY 62 AND 68
RIPLEY OH
45167-8650
US

V. Phone/Fax

Practice location:
  • Phone: 937-392-0457
  • Fax:
Mailing address:
  • Phone: 937-392-4318
  • 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: GREG MILLER
Title or Position: VICE PRESIDENT
Credential:
Phone: 513-605-2701