Active NPI
Bryson Healthcare Services, LLC
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bella Ngoasong Fontem
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- -
- Certified
- Nov 7, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bella Fontem | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 100% |
| W-2 Managing Employee | 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.
-
- Assisted Living Facility
- Columbus, OH
- NPI 1790561371
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.