Provider Demographics
NPI:1629861745
Name:SYNERGY HOME CARE LLC
Entity type:Organization
Organization Name:SYNERGY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FOS
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-843-2213
Mailing Address - Street 1:2555 S DIXIE DR STE 272
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45409-1518
Mailing Address - Country:US
Mailing Address - Phone:614-843-2213
Mailing Address - Fax:
Practice Address - Street 1:2555 S DIXIE DR STE 272
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45409-1518
Practice Address - Country:US
Practice Address - Phone:614-843-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health