Healthcare Provider Details

I. General information

NPI: 1659209385
Provider Name (Legal Business Name): CARING HEARTS RESIDENTIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6096 E MAIN ST STE 109
COLUMBUS OH
43213-4302
US

IV. Provider business mailing address

6096 E MAIN ST STE 109
COLUMBUS OH
43213-4302
US

V. Phone/Fax

Practice location:
  • Phone: 614-843-4295
  • Fax:
Mailing address:
  • Phone: 614-843-4295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA NMN SEKOU-MAMADOU
Title or Position: OWNER
Credential:
Phone: 614-843-4295