Healthcare Provider Details

I. General information

NPI: 1437053451
Provider Name (Legal Business Name): LA CRUE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4431 E LIVINGSTON AVE
COLUMBUS OH
43227
US

IV. Provider business mailing address

59 ROBINWOOD AVE
COLUMBUS OH
43213-6722
US

V. Phone/Fax

Practice location:
  • Phone: 380-799-3365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LATOYA BRADLEY
Title or Position: PRESIDENT
Credential:
Phone: 614-372-6669