Active NPI
Samira Adult Foster Home, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1073913539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SAMIRA ADULT FOSTER HOME, LLC
- Practice address
- 4258 Colby Ave
Columbus, OH 43227-2028 - Phone
- (614) 596-3340
- NPI assigned
- Sep 2, 2014
- Last updated
- Sep 8, 2014
- 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
- Mrs. Halimatou White
- Title
- President
- Phone
- (614) 596-3340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary |
Addresses
Primary practice location
4258 Colby Ave
Columbus, OH 43227-2028
Mailing address
4258 Colby Ave
Columbus, OH 43227-2028
Phone (614) 596-3340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105170 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1073913539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 COLBY AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272028",
"telephone_number": "614-596-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 COLBY AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272028",
"telephone_number": "614-596-3340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMIRA ADULT FOSTER HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "HALIMATOU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-596-3340",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105170",
"state": "OH"
}
],
"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 Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.