Healthcare Provider Details

I. General information

NPI: 1770330706
Provider Name (Legal Business Name): BELLENOCH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3246 NOE BIXBY RD # 104
COLUMBUS OH
43232-6361
US

IV. Provider business mailing address

3246 NOE BIXBY RD # 104
COLUMBUS OH
43232-6361
US

V. Phone/Fax

Practice location:
  • Phone: 470-641-1585
  • Fax:
Mailing address:
  • Phone: 470-641-1585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL OSAFO
Title or Position: CEO
Credential:
Phone: 470-641-1585