Healthcare Provider Details

I. General information

NPI: 1558997726
Provider Name (Legal Business Name): PROCARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 KARL RD
COLUMBUS OH
43229-5100
US

IV. Provider business mailing address

4950 KARL RD
COLUMBUS OH
43229-5100
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 TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FATOU OUSMAN CEESAY
Title or Position: OWNER
Credential: BSN, RN
Phone: 614-599-7512