Healthcare Provider Details

I. General information

NPI: 1003663931
Provider Name (Legal Business Name): KIBBY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 E MAIN ST STE 206
COLUMBUS OH
43205-2262
US

IV. Provider business mailing address

1890 E MAIN ST STE 206
COLUMBUS OH
43205-2262
US

V. Phone/Fax

Practice location:
  • Phone: 614-432-6085
  • Fax:
Mailing address:
  • Phone: 614-432-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEVLIN KIBBY
Title or Position: CEO
Credential:
Phone: 614-432-6085