Medicom Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICOM HEALTH CARE, LLC

Practice address

465 Waterbury CT
Ste. C
Gahanna, OH 43230-5312

Phone

(614) 476-6413

Fax

(614) 476-6423

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Natalia Kimkhe

Title

Director of Operations

Phone

(614) 476-6413

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1013058528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WATERBURY CT",
            "address_2": "STE. C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305312",
            "telephone_number": "614-476-6413",
            "fax_number": "614-476-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WATERBURY CT",
            "address_2": "STE. C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305312",
            "telephone_number": "614-476-6413",
            "fax_number": "614-476-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOM HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "KIMKHE",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-476-6413",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.