Healthcare Provider Details

I. General information

NPI: 1326619263
Provider Name (Legal Business Name): JAMARR HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 E NORTH BROADWAY ST
COLUMBUS OH
43224-4365
US

IV. Provider business mailing address

1783 E NORTH BROADWAY ST
COLUMBUS OH
43224-4365
US

V. Phone/Fax

Practice location:
  • Phone: 614-704-6112
  • Fax:
Mailing address:
  • Phone: 614-704-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: