Healthcare Provider Details

I. General information

NPI: 1457637795
Provider Name (Legal Business Name): FATOU O CEESAY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 KARL RD
COLUMBUS OH
43229-5100
US

IV. Provider business mailing address

4950 KARL RD
COLUMBUS OH
43229-5100
US

V. Phone/Fax

Practice location:
  • Phone: 614-368-6285
  • Fax: 614-468-1588
Mailing address:
  • Phone: 614-368-6285
  • Fax: 614-468-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.438885
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: