Provider Demographics
NPI:1184127862
Name:SECURE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SECURE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIRAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-815-9694
Mailing Address - Street 1:2600 OAKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7613
Mailing Address - Country:US
Mailing Address - Phone:614-238-8564
Mailing Address - Fax:
Practice Address - Street 1:4428 WALFORD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-1453
Practice Address - Country:US
Practice Address - Phone:614-238-8564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health