Provider Demographics
NPI:1699195206
Name:SCIOTO HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:SCIOTO HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:614-426-4040
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4073
Mailing Address - Country:US
Mailing Address - Phone:614-804-0911
Mailing Address - Fax:
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD SUITE 240
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4073
Practice Address - Country:US
Practice Address - Phone:614-804-0911
Practice Address - Fax:614-426-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health