Provider Demographics
NPI:1538916648
Name:HEALINGDRIVE HOMEHEALTH, LLC
Entity type:Organization
Organization Name:HEALINGDRIVE HOMEHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PREMGOPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-927-1418
Mailing Address - Street 1:6434 E MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7300
Mailing Address - Country:US
Mailing Address - Phone:614-927-1418
Mailing Address - Fax:
Practice Address - Street 1:6434 E MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7300
Practice Address - Country:US
Practice Address - Phone:614-927-1418
Practice Address - Fax:614-927-1416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALINGDRIVE HOMEHEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-06
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health