Healthcare Provider Details

I. General information

NPI: 1124817457
Provider Name (Legal Business Name): FIZA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2422 PINECREST DR
COLUMBUS OH
43229-6857
US

IV. Provider business mailing address

6101 WHITMAN RD
COLUMBUS OH
43213-2136
US

V. Phone/Fax

Practice location:
  • Phone: 614-623-0974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: PHILIP AMISSAH
Title or Position: CO-OWNER
Credential:
Phone: 614-623-0974