MEDICARE: FOSTER FOSU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1033079264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOSTER FOSU

Provider Business Mailing Address
First Line	:	2846 WALLCREST BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4885
Country	:	US
Telephone Number	:	614-325-2673
Fax Number	:

Provider Business Practice Location Address
First Line	:	2846 WALLCREST BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4885
Country	:	US
Telephone Number	:	614-325-2673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

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Directions to “ FOSTER FOSU ” Practice Location

Language	Start Address	Practice Location

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