Healthcare Provider Details

I. General information

NPI: 1851270169
Provider Name (Legal Business Name): PREMIER ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1472 MORSE RD
COLUMBUS OH
43229-6424
US

IV. Provider business mailing address

1472 MORSE RD
COLUMBUS OH
43229-6424
US

V. Phone/Fax

Practice location:
  • Phone: 614-639-8937
  • Fax: 614-639-8938
Mailing address:
  • Phone: 614-639-8937
  • Fax: 614-639-8938

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: FADUMO JAMA
Title or Position: PRESIDENT
Credential:
Phone: 614-639-8937