Provider Demographics
NPI:1144560343
Name:TASHAY 1 HOME HEALTHCARE INC
Entity type:Organization
Organization Name:TASHAY 1 HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MCMILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-367-1883
Mailing Address - Street 1:6515 E LIVINGSTON AVE
Mailing Address - Street 2:B6B
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3562
Mailing Address - Country:US
Mailing Address - Phone:614-367-1883
Mailing Address - Fax:614-367-1835
Practice Address - Street 1:6515 E LIVINGSTON AVE
Practice Address - Street 2:B6B
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3562
Practice Address - Country:US
Practice Address - Phone:614-367-1883
Practice Address - Fax:614-367-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1083938856Medicaid