Provider Demographics
NPI:1033907209
Name:HOME LIFE NON-MEDICAL LLC
Entity type:Organization
Organization Name:HOME LIFE NON-MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABUBAKAR
Authorized Official - Middle Name:ABDULKADIR
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:614-695-9571
Mailing Address - Street 1:6100 CHANNINGWAY BLVD STE 310-P
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-2910
Mailing Address - Country:US
Mailing Address - Phone:614-695-9571
Mailing Address - Fax:
Practice Address - Street 1:6100 CHANNINGWAY BLVD STE 310-P
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2910
Practice Address - Country:US
Practice Address - Phone:614-695-9571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health