Organization Active NPI

Lutheran Social Services of Central Ohio Home Care LLC

  • Home Health Agency
  • Worthington, OH
National Provider Identifier
1104164276
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO HOME CARE LLC
Practice address
500 W Wilson Bridge Rd
Ste 245
Worthington, OH 43085-2238
Phone
(614) 431-0599
Fax
(614) 431-0596
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Debra A Ittikraichareon
Title
Asst. Admin
Phone
(614) 431-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

500 W Wilson Bridge Rd
Ste 245
Worthington, OH 43085-2238

Mailing address

500 W Wilson Bridge Rd
Ste 245
Worthington, OH 43085-2238
Phone (614) 431-0599

Other identifiers 1

IdentifierTypeStateIssuer
280390739MedicaidOH

National Provider Directory

National Provider Directory

Locations

500 W Wilson Bridge Rd
Ste 245
Worthington, OH 43085
Phone (614) 431-0599

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1104164276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD",
            "address_2": "STE 245",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD",
            "address_2": "STE 245",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ITTIKRAICHAREON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASST. ADMIN",
        "authorized_official_telephone_number": "614-431-0599"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280390739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.