Healthcare Provider Details

I. General information

NPI: 1912738584
Provider Name (Legal Business Name): TIBA MOUNT HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 ROBINWOOD AVE STE 911F
WHITEHALL OH
43213-1783
US

IV. Provider business mailing address

911 ROBINWOOD AVE STE 911F
WHITEHALL OH
43213-1783
US

V. Phone/Fax

Practice location:
  • Phone: 614-598-2219
  • Fax:
Mailing address:
  • Phone: 614-598-2219
  • 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: JOHN MURAYA KAREITHI
Title or Position: CEO
Credential:
Phone: 614-598-2219