Organization Active NPI

Faradah Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Columbus, OH
National Provider Identifier
1023303591
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FARADAH ADULT DAY CARE, LLC
Practice address
5798 Columbus SQ
Columbus, OH 43231-2894
Phone
(614) 218-6502
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mr. Abdi Jama
Title
Owner
Phone
(614) 218-6502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5798 Columbus SQ
Columbus, OH 43231-2894

Mailing address

5834 Columbus SQ
Columbus, OH 43231-2811
Phone (614) 218-6502

Other identifiers 1

IdentifierTypeStateIssuer
0184202MedicaidOH

Other names 1

  • Profound Day Health Center, llc Doing business as

National Provider Directory

National Provider Directory

Locations

5834 Columbus Sq
Columbus, OH 43231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1023303591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 COLUMBUS SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312811",
            "telephone_number": "614-218-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 COLUMBUS SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312894",
            "telephone_number": "614-218-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARADAH ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-218-6502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Profound Day Health Center, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.