1679812879 NPI number — WINACK LLC. DBA ASSISTING HANDS HOME CARE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679812879 NPI number — WINACK LLC. DBA ASSISTING HANDS HOME CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WINACK LLC. DBA ASSISTING HANDS HOME CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679812879
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
545 METRO PL S
Provider Second Line Business Mailing Address:
SUITE100
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43017-5316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-454-6464
Provider Business Mailing Address Fax Number:
614-839-0955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
545 METRO PL S
Provider Second Line Business Practice Location Address:
SUITE100
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43017-5316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-454-6464
Provider Business Practice Location Address Fax Number:
614-839-0955
Provider Enumeration Date:
02/07/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ACKISON
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
614-286-2781

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)