Healthcare Provider Details

I. General information

NPI: 1740108331
Provider Name (Legal Business Name): WESTSIDE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E MAIN ST FL 2
COLUMBUS OH
43215-5304
US

IV. Provider business mailing address

515 E MAIN ST FL 2
COLUMBUS OH
43215-5304
US

V. Phone/Fax

Practice location:
  • Phone: 614-965-7531
  • Fax:
Mailing address:
  • Phone: 614-965-7531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SEAN ROBERT STUMBO
Title or Position: OWNER
Credential:
Phone: 614-965-7531