Healthcare Provider Details

I. General information

NPI: 1639850712
Provider Name (Legal Business Name): R & E BLACK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N HIGH ST STE 212
COLUMBUS OH
43215-3497
US

IV. Provider business mailing address

10 N HIGH ST STE 212
COLUMBUS OH
43215-3497
US

V. Phone/Fax

Practice location:
  • Phone: 614-595-7246
  • Fax: 614-427-0523
Mailing address:
  • Phone: 614-670-7010
  • Fax: 614-427-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERICA MARIE COIT
Title or Position: OWNER
Credential:
Phone: 614-670-7010