=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538311816
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATIENTCARE ADVOCATES LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2008
-----------------------------------------------------
Last Update Date | 07/11/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2151 E DUBLIN GRANVILLE RD STE # 204
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43229-3519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-726-6151
-----------------------------------------------------
Fax | 614-573-7655
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1933 E DUBLIN GRANVILLE RD STE # 318
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43229-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-726-6151
-----------------------------------------------------
Fax | 614-573-7655
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/CFO
-----------------------------------------------------
Name | GLORIA OPOKU-GYAMFI
-----------------------------------------------------
Credential | RN,BSN
-----------------------------------------------------
Telephone | 614-726-6151
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1809322
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------