CCN: 369310 NPI: 1306421417 Organization

CUSTOMIZED HOME HEALTH CARE LLC

6161 BUSCH BLVD STE 126
COLUMBUS, OH 432292553

Contact Information

Phone 6142604347
Enumeration Date 2021-03-11
Last Updated 2021-04-22

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 36

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 36

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 18140

providerType 36

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 18140

providerType 36

specialPaymentIndicator

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 18140

providerType 36

specialPaymentIndicator

carrierCode 15202

localityCode 00