Healthcare Provider Details

I. General information

NPI: 1780446203
Provider Name (Legal Business Name): BEING WHOLE WELLNESS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 02/03/2024
Certification Date: 02/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 COLONY PARK DR
PICKERINGTON OH
43147-2004
US

IV. Provider business mailing address

437 COLONY PARK DR
PICKERINGTON OH
43147-2004
US

V. Phone/Fax

Practice location:
  • Phone: 614-620-1534
  • Fax:
Mailing address:
  • Phone: 614-620-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NYEMADI P WILLIAMS
Title or Position: OWNER
Credential:
Phone: 614-620-1534