Healthcare Provider Details

I. General information

NPI: 1578434247
Provider Name (Legal Business Name): CARE COLUMBUS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 E DUBLIN GRANVILLE RD
COLUMBUS OH
43229-3516
US

IV. Provider business mailing address

246 E CAMPUS VIEW BLVD
COLUMBUS OH
43235-4634
US

V. Phone/Fax

Practice location:
  • Phone: 305-709-0282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MAHER SOUDAH
Title or Position: OWNER
Credential: MD
Phone: 305-709-0282