Active NPI
Opossum Care LLC
- In Home Supportive Care Agency
- Columbus, OH
National Provider Identifier
1043905805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.