Healthcare Provider Details

I. General information

NPI: 1689563157
Provider Name (Legal Business Name): EMBRACE HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 BUSCH BLVD STE 102
COLUMBUS OH
43229-1790
US

IV. Provider business mailing address

6555 BUSCH BLVD STE 102
COLUMBUS OH
43229-1790
US

V. Phone/Fax

Practice location:
  • Phone: 614-432-3080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABA ARTHUR
Title or Position: CEO
Credential:
Phone: 614-432-3080