AMERICAN SENIOR CARE CENTER LLC (NPI# 1790235588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790235588 |
| Entity Type | Organization |
| Organization Name | AMERICAN SENIOR CARE CENTER LLC |
| Practice Address |
3105 W Broad Street Suite 2 Columbus OH 43204 |
| Practice Telephone | 6148675607 |
| Practice Fax Number | 6144175095 |
| Mailing Telephone | 6148675607 |
| Mailing Fax Number | 6144175095 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MR. ABUBAKAR MOHAMED (ADMINISTRATOR) |
| Authorized Official Telephone | 6148432788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 0174783 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DODD CONTRACT NUMBER | 2570749 | 01 |
| OH | 0174783 | 05 |
| Street Address |
3105 W BROAD STREET SUITE 2 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| 1679916811 | Zachary N Hourmouzis | Emergency Medicine | 2323 West 5th Ave., Columbus, OH 43204 | 2013-04-08 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346706 | Shardonia Bianca Paguada | Home Health | 554 Elda St, Columbus, OH 43203-1105 | 2020-11-03 |
| 1346840014 | Bianca Deloach | Home Health | 3076 Clairpoint Way, Columbus, OH 43227-1828 | 2020-10-30 |
| 1841890886 | Enriched Care Home Health Services | Home Health | 2021 E Dublin Granville Rd Ste 270, Columbus, OH 43229-3568 | 2020-10-29 |
| 1639779747 | Nighat Aziz | Home Health | 1688 Mccoy Rd, Columbus, OH 43220-4406 | 2020-10-28 |
| 1477152007 | Exceed Home Health Care LLC | Home Health | 3280 Morse Rd Ste 200, Columbus, OH 43231-6175 | 2020-10-24 |
| 1215535802 | Emice Ziegler | Home Health | 1707 Peardale Rd N, Columbus, OH 43229-2038 | 2020-10-15 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1669079919 | Trillium Home Healthcare, LLC | Home Health | 2700 E Dublin Granville Rd Ste 170, Columbus, OH 43231-4094 | 2020-10-08 |
| 1275140188 | Latonya Qualls | Home Health | 2763 Glenshire Dr, Columbus, OH 43219-3219 | 2020-09-24 |
| 1073129672 | Make A U-turn Foundation, Inc | Home Health | 5868 Saranac Dr, Columbus, OH 43232-3176 | 2020-09-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.