Organization Active NPI

Upreach, LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1063015493
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UPREACH, LLC
Practice address
4488 Mobile Dr
Columbus, OH 43220-3713
Phone
(614) 442-7702
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Patrick Selbe
Title
Director
Phone
(614) 378-4833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4488 Mobile Dr
Columbus, OH 43220-3713

Mailing address

4488 Mobile Dr
Columbus, OH 43220-3713
Phone (614) 442-7702

Other identifiers 1

IdentifierTypeStateIssuer
2397455MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL patselbe@upreachgroup.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1063015493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 MOBILE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203713",
            "telephone_number": "614-442-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 MOBILE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203713",
            "telephone_number": "614-442-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SELBE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-378-4833"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2397455",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patselbe@upreachgroup.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "4488 Mobile Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432203713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 18, 2020; 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.