Healthcare Provider Details

I. General information

NPI: 1366260721
Provider Name (Legal Business Name): ALMAZ YADESSA GEBERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6531 E LIVINGSTON AVE
REYNOLDSBURG OH
43068-3502
US

IV. Provider business mailing address

12407 THOROUGHBRED DR
PICKERINGTON OH
43147-8343
US

V. Phone/Fax

Practice location:
  • Phone: 614-986-9901
  • Fax:
Mailing address:
  • Phone: 614-397-7804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: