Healthcare Provider Details

I. General information

NPI: 1699644633
Provider Name (Legal Business Name): ON THE OUTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 STONEHENGE DR UNIT D
COLUMBUS OH
43224-2562
US

IV. Provider business mailing address

PO BOX 24601
COLUMBUS OH
43224-0601
US

V. Phone/Fax

Practice location:
  • Phone: 614-362-5076
  • Fax:
Mailing address:
  • Phone: 614-362-5076
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DELPHIENA LEIGH TILLMAN
Title or Position: CEO
Credential:
Phone: 614-382-9107