Provider Demographics
NPI:1306900956
Name:CENTRAL OHIO ELDERLY CARE LLC
Entity type:Organization
Organization Name:CENTRAL OHIO ELDERLY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-374-6992
Mailing Address - Street 1:2615 E DUBLUN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2600
Mailing Address - Country:US
Mailing Address - Phone:614-523-3261
Mailing Address - Fax:614-523-3260
Practice Address - Street 1:2615 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4088
Practice Address - Country:US
Practice Address - Phone:614-523-3261
Practice Address - Fax:614-523-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368152Medicare ID - Type Unspecified