Healthcare Provider Details

I. General information

NPI: 1588738587
Provider Name (Legal Business Name): ESI HOMECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5467 AINSLEY DR SUITE 2027
WESTERVILLE OH
43082-9598
US

IV. Provider business mailing address

5467 AINSLEY DR. SUITE 2027
WESTERVILLE OH
43082-9598
US

V. Phone/Fax

Practice location:
  • Phone: 614-899-7370
  • Fax: 614-899-7370
Mailing address:
  • Phone: 614-899-7370
  • Fax: 614-899-7370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVE WAWERU
Title or Position: DIRECTOR
Credential:
Phone: 614-899-7370