Healthcare Provider Details

I. General information

NPI: 1306632187
Provider Name (Legal Business Name): PROCARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 ROCHE DR STE 201
COLUMBUS OH
43229-3290
US

IV. Provider business mailing address

5900 ROCHE DR STE 201
COLUMBUS OH
43229-3290
US

V. Phone/Fax

Practice location:
  • Phone: 614-368-6285
  • Fax: 614-468-1588
Mailing address:
  • Phone: 614-368-6285
  • Fax: 614-468-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FATOU OUSMAN CEESAY
Title or Position: ADMINISTRATOR
Credential: RN,BSN
Phone: 614-368-6285