Provider Demographics
NPI:1144628330
Name:HOMECARE CONTINUUM LLC
Entity type:Organization
Organization Name:HOMECARE CONTINUUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:BIH
Authorized Official - Last Name:ADEMBUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-779-6330
Mailing Address - Street 1:4133 SPYGLASS HL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-3303
Mailing Address - Country:US
Mailing Address - Phone:614-779-6330
Mailing Address - Fax:
Practice Address - Street 1:4133 SPYGLASS HL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3303
Practice Address - Country:US
Practice Address - Phone:614-779-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE CONTINUUM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3121240251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0115462Medicaid