Organization Active NPI

Bryson Healthcare Services, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1073394664
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRYSON HEALTHCARE SERVICES, LLC
Practice address
40 S James Rd Ste E
Columbus, OH 43213-1696
Phone
(614) 284-2688
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Bella Ngoasong FontemNPI 1790561371
Title
Ceo
Phone
(614) 284-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

40 S James Rd Ste E
Columbus, OH 43213-1696

Mailing address

40 S James Rd Ste E
Columbus, OH 43213-1696
Phone (614) 284-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202003270 OH Part A Provider - Home Health Agency 3779926084 Practice locations: Columbus, OH

Home health agency certification: CCN 369391

Legal name
BRYSON HEALTHCARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 2024
Last certification
Nov 7, 2024
Organization structure
LLCProprietary
Incorporated
Sep 21, 2023 in OH
Enrollment address
40 S James Rd
Ste E
Columbus, OH 43213-1696

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bryson Healthcare Services LLCCCN 369391
Ownership
-
Certified
Nov 7, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

40 S James Rd
Ste E
Columbus, OH 43213
Phone (614) 284-2688

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bella Fontem Individual 5% Or Greater Direct Ownership Interest Oct 16, 2023 100%
W-2 Managing EmployeeCeo Oct 16, 2023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1073394664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S JAMES RD STE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131696",
            "telephone_number": "614-284-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S JAMES RD STE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131696",
            "telephone_number": "614-284-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYSON HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FONTEM",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "NGOASONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-284-2688"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.