Healthcare Provider Details

I. General information

NPI: 1780517763
Provider Name (Legal Business Name): JOYCE PERRY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 DOVER RD
COLUMBUS OH
43209-3023
US

IV. Provider business mailing address

2917 DOVER RD
COLUMBUS OH
43209-3023
US

V. Phone/Fax

Practice location:
  • Phone: 614-588-6163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JOYCE PERRY
Title or Position: OWNER
Credential:
Phone: 614-588-6163