=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467146381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPHINX HOME HEALTH CARE OF CENTRAL OHIO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2023
-----------------------------------------------------
Last Update Date | 02/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 EAST LONG STREET 10TH FLOOR SUITE 1012
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215-2915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-715-8277
-----------------------------------------------------
Fax | 614-675-9828
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 EAST LONG STREET 10TH FLOOR SUITE 1012
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215-2915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-715-8277
-----------------------------------------------------
Fax | 614-675-9828
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | FAITH R KAIL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-427-9258
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------