Provider Demographics
NPI:1912163353
Name:COLUMBUS FAMILY HEALTH CARE
Entity type:Organization
Organization Name:COLUMBUS FAMILY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:614-477-8256
Mailing Address - Street 1:33 E PARK ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2301
Mailing Address - Country:US
Mailing Address - Phone:614-477-8256
Mailing Address - Fax:
Practice Address - Street 1:33 E PARK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2301
Practice Address - Country:US
Practice Address - Phone:614-794-5007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1784656251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health