Provider Demographics
NPI:1114812518
Name:4C HOME HEALTH
Entity type:Organization
Organization Name:4C HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-573-8610
Mailing Address - Street 1:6290 PHEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4188
Mailing Address - Country:US
Mailing Address - Phone:937-573-8610
Mailing Address - Fax:
Practice Address - Street 1:6290 PHEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-4188
Practice Address - Country:US
Practice Address - Phone:937-573-8610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENTHREAT PRODUCTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health