Healthcare Provider Details

I. General information

NPI: 1194778076
Provider Name (Legal Business Name): A M FRIENDS & FAMILY HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5969 E LIVINGSTON AVE STE 107
COLUMBUS OH
43232-2907
US

IV. Provider business mailing address

5969 E LIVINGSTON AVE STE 107 SUITE 107
COLUMBUS OH
43232-2907
US

V. Phone/Fax

Practice location:
  • Phone: 614-866-3400
  • Fax: 614-866-3444
Mailing address:
  • Phone: 614-866-3400
  • Fax: 614-866-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberOH03801
License Number StateOH

VIII. Authorized Official

Name: MRS. ALICE L SULLIVAN
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 614-866-3400