Provider Demographics
NPI:1144629619
Name:HOMEBOUND HELPERS INC
Entity type:Organization
Organization Name:HOMEBOUND HELPERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-561-0075
Mailing Address - Street 1:3797 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2204
Mailing Address - Country:US
Mailing Address - Phone:614-561-0075
Mailing Address - Fax:614-385-7700
Practice Address - Street 1:3797 BROADWAY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2204
Practice Address - Country:US
Practice Address - Phone:614-561-0075
Practice Address - Fax:614-561-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2832162Medicaid
QMP000004470227OtherMOLINA PROVIDER ID