=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053113027
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEAN ON ME HOME HEALTH CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2025
-----------------------------------------------------
Last Update Date | 03/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 685 DELAWARE AVE STE 112
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43302-5086
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-692-9482
-----------------------------------------------------
Fax | 740-692-9584
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 685 DELAWARE AVE STE 112
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43302-5086
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-692-9482
-----------------------------------------------------
Fax | 740-692-9584
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ANDREW UZOMBA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-354-4898
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------