Healthcare Provider Details

I. General information

NPI: 1023303591
Provider Name (Legal Business Name): FARADAH ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5798 COLUMBUS SQ
COLUMBUS OH
43231-2894
US

IV. Provider business mailing address

5834 COLUMBUS SQ
COLUMBUS OH
43231-2811
US

V. Phone/Fax

Practice location:
  • Phone: 614-218-6502
  • Fax:
Mailing address:
  • Phone: 614-218-6502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ABDI JAMA
Title or Position: OWNER
Credential:
Phone: 614-218-6502