Healthcare Provider Details

I. General information

NPI: 1558971606
Provider Name (Legal Business Name): OHANA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 N HIGH ST STE 101
WORTHINGTON OH
43085-3948
US

IV. Provider business mailing address

5655 N HIGH ST STE 101
WORTHINGTON OH
43085-3948
US

V. Phone/Fax

Practice location:
  • Phone: 614-601-6390
  • Fax: 614-368-9270
Mailing address:
  • Phone: 614-601-6390
  • Fax: 614-368-9270

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: AHMED ABDI
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-598-5876