Organization Active NPI

Brecol Supported Care LLC

  • In Home Supportive Care Agency
  • Pickerington, OH
National Provider Identifier
1073024972
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRECOL SUPPORTED CARE LLC
Practice address
13022 Heatherstone Cir
Pickerington, OH 43147-9050
Phone
(614) 286-5413
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Collen Chavi
Title
Owner/Ceo
Phone
(614) 286-5413

Specialties & licenses 1

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

Addresses

Primary practice location

13022 Heatherstone Cir
Pickerington, OH 43147-9050

Mailing address

1209 Hill Rd N # 337
Pickerington, OH 43147-8888
Phone (614) 286-5413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1073024972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N # 337",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478888",
            "telephone_number": "614-286-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13022 HEATHERSTONE CIR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479050",
            "telephone_number": "614-286-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECOL SUPPORTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "CHAVI",
        "authorized_official_first_name": "COLLEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "614-286-5413"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.