Active NPI
Profound Home Health Care, LLC
- Skilled Nursing Facility
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 311778
- Legal business name
- PROFOUND HOME HEALTH CARE, LLC
- Practice address
- 5289 Eisenhower Rd
Columbus, OH 43229-5016 - Phone
- (614) 560-9237
- NPI assigned
- May 2, 2013
- Last updated
- May 2, 2013
- 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
- Mr. Edward Raymond Leake
- Title
- RN
- Phone
- (614) 560-9237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 311778 | OH | Primary |
Addresses
Primary practice location
5289 Eisenhower Rd
Columbus, OH 43229-5016
Mailing address
5289 Eisenhower Rd
Columbus, OH 43229-5016
Phone (614) 560-9237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2624066 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Profound Home Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Columbus, OH
- NPI 1073959185
Practitioners & affiliated clinicians
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.
-
- Registered Nurse
- Columbus, OH
- NPI 1992048003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1306281449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5289 EISENHOWER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295016",
"telephone_number": "614-560-9237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5289 EISENHOWER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295016",
"telephone_number": "614-560-9237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFOUND HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "LEAKE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "614-560-9237",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "311778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2624066",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Professional Home Health Care Services LLC
- Professionals for Womens Health Inc
- Viktorya Proffitt, PT
- Profound Care,LLC.
- Profound Home Health Care LLC
- Progressive Home Care LLC
- Progressive Occupational Therapy Services, LLC (Progressive OT Services)
- Progressive Physical Therapy
- Stephanie J Proicou, CRNA
- Project Linden, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.