Healthcare Provider Details
I. General information
NPI: 1275067720
Provider Name (Legal Business Name): COLUMBUS BEST CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4509 CLEVELAND AVE
COLUMBUS OH
43231-5802
US
IV. Provider business mailing address
4509 CLEVELAND AVE
COLUMBUS OH
43231-5802
US
V. Phone/Fax
- Phone: 614-607-9400
- Fax:
- Phone: 614-607-9400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAMARU
ADHIKARI
Title or Position: CO OWNER
Credential:
Phone: 614-607-9400