Healthcare Provider Details

I. General information

NPI: 1679429120
Provider Name (Legal Business Name): JOYCE ARNETT UMBRELLA HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19752 STATE ROUTE 31
MOUNT VICTORY OH
43340-9704
US

IV. Provider business mailing address

3136 HOUSTON DR
COLUMBUS OH
43207-3329
US

V. Phone/Fax

Practice location:
  • Phone: 614-302-4874
  • Fax:
Mailing address:
  • Phone: 614-302-4874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ALYSE BOOKER
Title or Position: OWNER
Credential:
Phone: 614-302-4874