Provider Demographics
NPI:1588535652
Name:QUANTIVE HEALTH GROUP LLC
Entity type:Organization
Organization Name:QUANTIVE HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AJUSEH
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTABOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-515-9284
Mailing Address - Street 1:507 ALTA VIEW VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-5900
Mailing Address - Country:US
Mailing Address - Phone:614-515-9284
Mailing Address - Fax:614-515-9284
Practice Address - Street 1:507 ALTA VIEW VILLAGE CT
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-5900
Practice Address - Country:US
Practice Address - Phone:614-515-9284
Practice Address - Fax:614-515-9284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health