Support Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPPORT HOME HEALTH CARE LLC

Practice address

843 N 21St St Ste 202
Newark, OH 43055-7274

Phone

(678) 599-0850

NPI assigned

Mar 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damber Khatiwoda

Title

President

Phone

(678) 599-0850

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1073253910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 202",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557274",
            "telephone_number": "678-599-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 202",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557274",
            "telephone_number": "678-599-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "KHATIWODA",
        "authorized_official_first_name": "DAMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-599-0850"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.