Ikb Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IKB CARE SERVICES

Doing business as

Synergy HomeCare of East Columbus

Practice address

1505 Stonecreek Dr S Ste 103
Pickerington, OH 43147-9869

Phone

(614) 965-6760

Fax

(614) 965-6674

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Ibrahima Sory DialloNPI 1427715622

Title

Ceo

Phone

(614) 965-6760

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of East Columbus Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibrahima Sory Diallo

  • In Home Supportive Care Agency
  • Pickerington, OH
  • NPI 1427715622
  NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1215694310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STONECREEK DR S STE 103",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479869",
            "telephone_number": "614-965-6760",
            "fax_number": "614-965-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STONECREEK DR S STE 103",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479869",
            "telephone_number": "614-965-6760",
            "fax_number": "614-965-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKB CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "IBRAHIMA",
        "authorized_official_middle_name": "SORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-965-6760"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of East Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Phillip Arthur Immesoete II, MD
• Brittany Inlow
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• In Home Supportive Care Agency in Pickerington, OH
• Providers in Pickerington, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.