Provider Demographics
NPI:1912870460
Name:P.E.R. HOME CARE LLC
Entity type:Organization
Organization Name:P.E.R. HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNE/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-441-7965
Mailing Address - Street 1:885 JOSEPHINE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1016
Mailing Address - Country:US
Mailing Address - Phone:614-441-7965
Mailing Address - Fax:
Practice Address - Street 1:885 JOSEPHINE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1016
Practice Address - Country:US
Practice Address - Phone:614-441-7965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care