Healthcare Provider Details

I. General information

NPI: 1881438216
Provider Name (Legal Business Name): PERFECT COMMUNITY HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 COOPER RD STE 700
WESTERVILLE OH
43081-9235
US

IV. Provider business mailing address

660 COOPER RD STE 700
WESTERVILLE OH
43081-9235
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-6500
  • Fax: 614-436-6580
Mailing address:
  • Phone: 614-436-6500
  • Fax: 614-436-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH ACQUAH
Title or Position: C.E.O
Credential:
Phone: 614-377-8336