MEDICARE: M.O.D.E. INDUSTRIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QA0600X	Adult Day Care Clinic/Center
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251E00000X	Home Health Agency
4	251V00000X	Voluntary or Charitable Agency
5	252Y00000X	Early Intervention Provider Agency
6	261QP2400X	Prison Health Clinic/Center
7	171M00000X	Case Manager/Care Coordinator
8	174200000X	Meals Provider
9	175T00000X	Peer Specialist
10	251300000X	Local Education Agency (LEA)
11	251B00000X	Case Management Agency
12	3104A0625X	Assisted Living Facility (Mental Illness)
13	347C00000X	Private Vehicle
14	405300000X	Prevention Professional
15	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578410502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.O.D.E. INDUSTRIES

Provider Business Mailing Address
First Line	:	3000 E MAIN ST # 134
Second Line	:
City	:	BEXLEY
State	:	OH
Zip	:	43209-3717
Country	:	US
Telephone Number	:	614-504-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	4889 SINCLAIR RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5432
Country	:	US
Telephone Number	:	614-504-8008
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LIRYC PATTE
Credential	:
Telephone Number	:	614-504-8008

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “M.O.D.E. INDUSTRIES ” Practice Location

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