Provider Demographics
NPI:1922808070
Name:M.O.D.E. INDUSTRIES
Entity type:Organization
Organization Name:M.O.D.E. INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIRYC
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-504-8008
Mailing Address - Street 1:3000 E MAIN ST # 134
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3717
Mailing Address - Country:US
Mailing Address - Phone:614-504-8008
Mailing Address - Fax:
Practice Address - Street 1:4889 SINCLAIR RD STE 211
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5434
Practice Address - Country:US
Practice Address - Phone:614-504-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health