Active NPI
Caritas Home Health Care and Supported Living
- Developmentally Disabled Services Day Training Agency
- Columbus, OH
National Provider Identifier
1063710929
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CARITAS HOME HEALTH CARE AND SUPPORTED LIVING
- Practice address
- 4204 Possum Run CT W
Columbus, OH 43224-6820 - Phone
- (614) 973-1621
- NPI assigned
- Mar 2, 2011
- Last updated
- May 9, 2011
- 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
- Mr. Sekou Bayoh Kpoto
- Title
- Ceo
- Phone
- (614) 973-1621
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | OH | Primary | |
| Home Health Agency | 251E00000X | OH |
Addresses
Primary practice location
4204 Possum Run CT W
Columbus, OH 43224-6820
Mailing address
4204 Possum Round CT
Columbus, OH 43224-6820
Phone (614) 973-1621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304899200000",
"number": "1063710929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 POSSUM ROUND CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432246820",
"telephone_number": "614-973-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 POSSUM RUN CT W",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432246820",
"telephone_number": "614-973-1621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARITAS HOME HEALTH CARE AND SUPPORTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-05-09",
"status": "A",
"authorized_official_last_name": "KPOTO",
"authorized_official_first_name": "SEKOU",
"authorized_official_middle_name": "BAYOH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-973-1621",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"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 May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.