Organization Active NPI

Classic Health Care Services, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1356671432
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLASSIC HEALTH CARE SERVICES, LLC
Practice address
788 Busch CT
Columbus, OH 43229-1704
Phone
(614) 848-3900
Fax
(614) 848-3901
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Robert Fosnaugh
Title
Coordinator
Phone
(614) 848-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

788 Busch CT
Columbus, OH 43229-1704

Mailing address

788 Busch CT
Columbus, OH 43229-1704
Phone (614) 848-3900

Other identifiers 1

IdentifierTypeStateIssuer
2939306OtherOHODJFS MEDICAID PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1356671432",
    "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": {
        "organization_name": "CLASSIC HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "FOSNAUGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "614-848-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODJFS MEDICAID PROVIDER NUMBER",
            "identifier": "2939306",
            "state": "OH"
        }
    ],
    "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 Apr 29, 2010; 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.