Everistus Basil Itie

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

788 Busch CT
Columbus, OH 43229-1704

Phone

(614) 848-3900

Fax

(614) 848-3901

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Classic Health Care Services, LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1356671432
  NPD (past)
• Classic Healthcare Services, LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1073773719
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1093883712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 BUSCH CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291704",
            "telephone_number": "614-848-3900",
            "fax_number": "614-848-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 BUSCH CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291704",
            "telephone_number": "614-848-3900",
            "fax_number": "614-848-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITIE",
        "first_name": "EVERISTUS",
        "middle_name": "BASIL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhiya Ibrahim Issak
• Mariam Abdullahi Isse
• Sudi Yasin Isse
• Zakaria Isse
• Eyobong Ita
• David A Itkoff, D.D.S.
• Grace Catherine Iula, RN, BSN
• Joseph C Iuvara, D.O.
• Ryan John Ivancic, MD
• Iouri Ivanov, MD

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.