Individual provider Active NPI

Kofi Adoma, BSN,RN

  • Home Health Agency
  • Pickerington, OH
National Provider Identifier
1114684669
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
11531 Daventry Dr NW
Pickerington, OH 43147-7525
Phone
(614) 596-7656
Fax
(614) 559-9927
NPI assigned
Nov 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11531 Daventry Dr NW
Pickerington, OH 43147-7525

Mailing address

11531 Daventry Dr NW
Pickerington, OH 43147-7525
Phone (614) 596-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JLL Healthcare LLC Home Health CurrentSince Nov 21, 2021 Accepting new patients
JLL Healthcare LLC CurrentSince Nov 21, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1114684669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11531 DAVENTRY DR NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477525",
            "telephone_number": "614-596-7656",
            "fax_number": "614-559-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 DAVENTRY DR NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477525",
            "telephone_number": "614-596-7656",
            "fax_number": "614-559-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOMA",
        "first_name": "KOFI",
        "credential": "BSN,RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Nov 19, 2021; 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.