Healthcare Provider Details

I. General information

NPI: 1467337931
Provider Name (Legal Business Name): ROKON COMMUNITY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 E DUBLIN GRANVILLE RD STE 100A
COLUMBUS OH
43229-3311
US

IV. Provider business mailing address

1415 E DUBLIN GRANVILLE RD STE 100A
COLUMBUS OH
43229-3311
US

V. Phone/Fax

Practice location:
  • Phone: 614-772-5698
  • Fax:
Mailing address:
  • Phone: 614-772-5698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. ABUBAKARR SIDIQUE BANGURA
Title or Position: MEMBER
Credential: ADMINISTRATOR
Phone: 614-772-5698