Healthcare Provider Details

I. General information

NPI: 1063301950
Provider Name (Legal Business Name): ADAMA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 ENGLAND ST
PICKERINGTON OH
43147-2249
US

IV. Provider business mailing address

213 ENGLAND ST
PICKERINGTON OH
43147-2249
US

V. Phone/Fax

Practice location:
  • Phone: 614-373-3211
  • Fax: 614-373-3211
Mailing address:
  • Phone: 614-373-3211
  • Fax: 614-373-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MONA D KAMARA
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 614-373-3211