Healthcare Provider Details

I. General information

NPI: 1114899465
Provider Name (Legal Business Name): SUMBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 GRANITEWAY LN
COLUMBUS OH
43229-6587
US

IV. Provider business mailing address

1661 GRANITEWAY LN
COLUMBUS OH
43229-6587
US

V. Phone/Fax

Practice location:
  • Phone: 614-446-4018
  • Fax:
Mailing address:
  • Phone: 614-446-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SULAYMAN SUMBUNDU
Title or Position: OWNER
Credential:
Phone: 614-446-4018