Organization
PRESTIGE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDI JAMA (OWNER)
(614) 966-2141
Entity
Organization
Contact information
Practice address
623 PARK MEADOW RD STE C, WESTERVILLE, OH 43081
(614) 966-2141
Mailing address
623 PARK MEADOW RD STE C, WESTERVILLE, OH 43081-2876
(614) 966-2141
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1234567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
WAIVER-PROGRAM
OH
01
—
8135902
BUSSINESS ID
OH
Enumeration date
08/18/2016
Last updated
10/10/2024
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