Healthcare Provider Details

I. General information

NPI: 1821965807
Provider Name (Legal Business Name): ROBERT FRANKLIN JUSTICE III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 S NAPOLEON AVE
COLUMBUS OH
43213-4234
US

IV. Provider business mailing address

267 S NAPOLEON AVE
COLUMBUS OH
43213-4234
US

V. Phone/Fax

Practice location:
  • Phone: 614-230-6188
  • Fax:
Mailing address:
  • Phone: 614-230-6188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberRU675923
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberRU675923
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRU675923
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: