MEDICARE: FIRST COLUMBUS CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881543270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST COLUMBUS CARE LLC

Provider Business Mailing Address
First Line	:	4329 HOLSTEIN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3794
Country	:	US
Telephone Number	:	614-285-9079
Fax Number	:	614-285-9079

Provider Business Practice Location Address
First Line	:	4329 HOLSTEIN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3794
Country	:	US
Telephone Number	:	614-285-9079
Fax Number	:	614-285-9079

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VICTORIA BOMBOKO
Credential	:
Telephone Number	:	614-285-9079

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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