Provider Demographics
NPI:1144651795
Name:KHERE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:KHERE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYMUNA
Authorized Official - Middle Name:MAHAMUD
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-4747
Mailing Address - Street 1:1213 JOHN G MCCOY CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224
Mailing Address - Country:US
Mailing Address - Phone:614-377-4747
Mailing Address - Fax:614-414-7809
Practice Address - Street 1:1213 JOHN G MCCOY CIR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4152
Practice Address - Country:US
Practice Address - Phone:614-377-4747
Practice Address - Fax:614-414-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health