Provider Demographics
NPI:1316624828
Name:AID HOMECARE LLC
Entity type:Organization
Organization Name:AID HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/ MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KESHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATIWADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-254-7059
Mailing Address - Street 1:6434 E MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7021 KENDALE DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-5064
Practice Address - Country:US
Practice Address - Phone:616-254-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health