MEDICARE: TOTALLY GIFTED CARE

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1598583668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTALLY GIFTED CARE

Provider Business Mailing Address
First Line	:	402 BASSWOOD RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 BASSWOOD RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3942
Country	:	US
Telephone Number	:	614-507-7077
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYSEN RICHARDSON
Credential	:
Telephone Number	:	614-507-7077

Provider Enumeration Date	:	09/28/2024
Last Update Date	:	09/28/2024

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Directions to “TOTALLY GIFTED CARE ” Practice Location

Language	Start Address	Practice Location

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