Provider Demographics
NPI: | 1912043555 |
---|---|
Name: | OHIO JOBS AND FAMILY SERVICES |
Entity type: | Organization |
Organization Name: | OHIO JOBS AND FAMILY SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | IP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | FRENCHETTA |
Authorized Official - Middle Name: | DENNIELLE |
Authorized Official - Last Name: | FORD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AIDE |
Authorized Official - Phone: | 614-668-0406 |
Mailing Address - Street 1: | 8867 NATIONAL RD SW |
Mailing Address - Street 2: | |
Mailing Address - City: | PATASKALA |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43062 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-668-0406 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8867 NATIONAL RD SW |
Practice Address - Street 2: | |
Practice Address - City: | PATASKALA |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43062 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-668-0406 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-30 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 2663783 | Medicaid |