Provider Demographics
NPI:1326413568
Name:MPQH HEALTHCARE PROFESSIONALS,LLC
Entity type:Organization
Organization Name:MPQH HEALTHCARE PROFESSIONALS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-895-3654
Mailing Address - Street 1:2021 E DUBLIN GRANVILLE RD STE 175
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3570
Mailing Address - Country:US
Mailing Address - Phone:380-895-3654
Mailing Address - Fax:614-420-2230
Practice Address - Street 1:2021 E DUBLIN GRANVILLE RD STE 175
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3570
Practice Address - Country:US
Practice Address - Phone:380-895-3654
Practice Address - Fax:614-420-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-13
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health