MEDICARE: SHANTI HOME CARE OH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144039116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANTI HOME CARE OH LLC

Provider Business Mailing Address
First Line	:	4076 SPECTACLE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-8508
Country	:	US
Telephone Number	:	646-407-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	4076 SPECTACLE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-8508
Country	:	US
Telephone Number	:	646-407-5678
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT, ADMIN
Name	:	URJABEN PATEL
Credential	:
Telephone Number	:	646-496-3474

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	01/04/2025

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Directions to “SHANTI HOME CARE OH LLC ” Practice Location

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