Healthcare Provider Details

I. General information

NPI: 1013704949
Provider Name (Legal Business Name): NAMASTE ADULT COMMUNITY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 N HAMILTON RD
GAHANNA OH
43230-1758
US

IV. Provider business mailing address

961 N HAMILTON RD
GAHANNA OH
43230-1758
US

V. Phone/Fax

Practice location:
  • Phone: 614-886-9830
  • Fax:
Mailing address:
  • Phone: 614-886-9830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMBIKA PURI
Title or Position: PRESIDENT
Credential:
Phone: 614-886-9830