Provider Demographics
NPI:1023308855
Name:3 C HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:3 C HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZAM ZAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LIBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-471-4300
Mailing Address - Street 1:2720 AIRPORT DR STE 140
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2219
Mailing Address - Country:US
Mailing Address - Phone:614-471-4300
Mailing Address - Fax:614-781-0501
Practice Address - Street 1:5979 E LIVINGSTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2908
Practice Address - Country:US
Practice Address - Phone:614-471-4300
Practice Address - Fax:614-781-0501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3C HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-13
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1991662251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health