Healthcare Provider Details

I. General information

NPI: 1508694787
Provider Name (Legal Business Name): CHOSEN HEALTH CARE OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 CREEK MEADOWS DR
PICKERINGTON OH
43147-9393
US

IV. Provider business mailing address

PO BOX 801
REYNOLDSBURG OH
43068-0801
US

V. Phone/Fax

Practice location:
  • Phone: 614-897-7839
  • Fax:
Mailing address:
  • Phone: 614-897-7839
  • Fax:

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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CECILIA CAFFEY CAMARA
Title or Position: C.E.O
Credential:
Phone: 614-897-7839