Provider Demographics
NPI:1861732950
Name:CONFIDENTIAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CONFIDENTIAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-806-6472
Mailing Address - Street 1:6555 BUSCH BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1790
Mailing Address - Country:US
Mailing Address - Phone:614-559-9949
Mailing Address - Fax:614-559-4667
Practice Address - Street 1:6555 BUSCH BLVD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1790
Practice Address - Country:US
Practice Address - Phone:614-559-9949
Practice Address - Fax:614-559-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1861732950Medicaid