=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801512108
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPATHY CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2022
-----------------------------------------------------
Last Update Date | 01/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5900 ROCHE DR STE 400
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43229-3276
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-973-1144
-----------------------------------------------------
Fax | 614-505-0036
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5045 ALPHA CT
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-4890
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-966-6063
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | JULIUS MICHAEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-973-1144
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------