Healthcare Provider Details

I. General information

NPI: 1982577557
Provider Name (Legal Business Name): OPULENT CARE HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 OLDE WORTHINGTON RD STE 200
WESTERVILLE OH
43082-9381
US

IV. Provider business mailing address

937 TAYLOR STATION RD UNIT 307
COLUMBUS OH
43230-6911
US

V. Phone/Fax

Practice location:
  • Phone: 614-783-0755
  • Fax:
Mailing address:
  • Phone: 216-902-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. LATEA MONEE JOHNSON
Title or Position: CEO/OWNER
Credential:
Phone: 216-902-1999