Provider Demographics
NPI:1053356683
Name:COLUMBUS HOME CARE SERVICES
Entity type:Organization
Organization Name:COLUMBUS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAWAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-507-3443
Mailing Address - Street 1:2301 HAMILTON RD
Mailing Address - Street 2:#A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8546
Mailing Address - Country:US
Mailing Address - Phone:706-507-3443
Mailing Address - Fax:706-507-3444
Practice Address - Street 1:2301 HAMILTON RD
Practice Address - Street 2:#A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8546
Practice Address - Country:US
Practice Address - Phone:706-507-3443
Practice Address - Fax:706-507-3444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA236536332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies