Healthcare Provider Details
I. General information
NPI: 1568192714
Provider Name (Legal Business Name): AFFIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2022
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2021 E DUBLIN GRANVILLE RD STE 130
COLUMBUS OH
43229-3580
US
IV. Provider business mailing address
2021 E DUBLIN GRANVILLE RD STE 130
COLUMBUS OH
43229-3580
US
V. Phone/Fax
- Phone: 614-845-5114
- Fax: 614-845-5115
- Phone: 614-845-5114
- Fax: 614-845-5115
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOHAMUD
ABDI
DAAR
Title or Position: OWNER
Credential:
Phone: 614-845-5114