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NPI Code Detail

MEDICARE: CARITAS HOME HEALTH CARE AND SUPPORTED LIVING

MEDICARE: CARITAS HOME HEALTH CARE AND SUPPORTED LIVING
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
1251E00000XHome Health AgencyOH
2251C00000XDevelopmentally Disabled Services Day Training AgencyOH

General Provider Information

NPI Number : 1063710929
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARITAS HOME HEALTH CARE AND SUPPORTED LIVING
Provider Business Mailing Address
First Line : 4204 POSSUM ROUND CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-6820
Country : US
Telephone Number : 614-973-1621
Fax Number :
Provider Business Practice Location Address
First Line : 4204 POSSUM RUN CT W
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-6820
Country : US
Telephone Number : 614-973-1621
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. SEKOU BAYOH KPOTO
Credential :
Telephone Number : 614-973-1621
Provider Enumeration Date : 03/02/2011
Last Update Date : 05/09/2011

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Directions to “CARITAS HOME HEALTH CARE AND SUPPORTED LIVING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.