Healthcare Provider Details

I. General information

NPI: 1023807294
Provider Name (Legal Business Name): UQOLIFI SERVICE GROUP LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

975 WESTRIDGE ST
COLUMBUS OH
43228-3257
US

IV. Provider business mailing address

5911 STARCREST DR
GALLOWAY OH
43119-9759
US

V. Phone/Fax

Practice location:
  • Phone: 614-599-8426
  • Fax:
Mailing address:
  • Phone: 614-599-8426
  • Fax: 614-599-8426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAUNDRA BARLOW
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 614-599-8426