Organization Active NPI

KTM Support Group, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1194515205
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KTM SUPPORT GROUP, LLC
Practice address
5300 E Main St Ste 204B
Columbus, OH 43213-2580
Phone
(614) 598-9900
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Dame Cisse
Title
Owner
Phone
(614) 598-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5300 E Main St Ste 204B
Columbus, OH 43213-2580

Mailing address

5300 E Main St Ste 204B
Columbus, OH 43213-2580

National Provider Directory

National Provider Directory

Locations

5300 E Main St
Ste 204B
Columbus, OH 43213
Phone (614) 598-9900

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1194515205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 E MAIN ST STE 204B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 E MAIN ST STE 204B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132580",
            "telephone_number": "614-598-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTM SUPPORT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "DAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-598-9900"
    },
    "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 May 12, 2025; 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.