Provider Demographics
NPI:1730512690
Name:ELEMENTAL HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ELEMENTAL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAHIMA
Authorized Official - Middle Name:H
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-441-7900
Mailing Address - Street 1:3310 MORSE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6191
Mailing Address - Country:US
Mailing Address - Phone:614-441-7900
Mailing Address - Fax:614-388-1971
Practice Address - Street 1:3310 MORSE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6191
Practice Address - Country:US
Practice Address - Phone:614-441-7900
Practice Address - Fax:614-388-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty