=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669782140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OHC OF SW OHIO, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2010
-----------------------------------------------------
Last Update Date | 08/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7601 PARAGON RD
-----------------------------------------------------
City | WASHINGTON TOWNSHIP
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45459-4074
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-843-4422
-----------------------------------------------------
Fax | 419-843-4442
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 28315 KENSINGTON LN
-----------------------------------------------------
City | PERRYSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43551-4177
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-843-4422
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JOSH ADAMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-843-4422
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------