Healthcare Provider Details

I. General information

NPI: 1154279271
Provider Name (Legal Business Name): EMBRACEWELL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 KING EDWARD CT W
COLUMBUS OH
43228-2418
US

IV. Provider business mailing address

339 KING EDWARD CT W
COLUMBUS OH
43228-2418
US

V. Phone/Fax

Practice location:
  • Phone: 614-966-7651
  • Fax:
Mailing address:
  • Phone: 614-966-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FADUMO MOHAMED ABDALLAH
Title or Position: OWNER
Credential:
Phone: 614-966-7651