Provider Demographics
NPI:1689911513
Name:AHENKAN HEALTH CARE
Entity type:Organization
Organization Name:AHENKAN HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTABEL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ASUAMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-515-7884
Mailing Address - Street 1:6025 MAPLE CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2841
Mailing Address - Country:US
Mailing Address - Phone:614-515-7884
Mailing Address - Fax:
Practice Address - Street 1:6025 MAPLE CANYON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2841
Practice Address - Country:US
Practice Address - Phone:614-515-7884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.149762-M-IV251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care