Organization Active NPI

Opossum Care LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1043905805
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPOSSUM CARE LLC
Practice address
3012 Blakehope Dr
Columbus, OH 43219-7381
Phone
(614) 313-6591
Fax
(866) 315-9377
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Madusu Mansaray
Title
Doo/Owner
Phone
(614) 313-6591

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X
Transportation Network Company 342000000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X

Addresses

Primary practice location

3012 Blakehope Dr
Columbus, OH 43219-7381

Mailing address

3012 Blakehope Dr
Columbus, OH 43219-7381
Phone (614) 313-6591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1043905805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BLAKEHOPE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197381",
            "telephone_number": "614-313-6591",
            "fax_number": "866-315-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 BLAKEHOPE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197381",
            "telephone_number": "614-313-6591",
            "fax_number": "866-315-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPOSSUM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "MADUSU",
        "authorized_official_title_or_position": "DOO/OWNER",
        "authorized_official_telephone_number": "614-313-6591"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2023; 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.