NPIMap

Organization Active NPI

Phoenix Home Care Passport Program Inc

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1407348022
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX HOME CARE PASSPORT PROGRAM INC
Practice address
30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736
Phone
(614) 888-8885
Fax
(614) 888-8893
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Mr. Rajender Alugubelli Reddy
Title
Ceo
Phone
(614) 888-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736

Mailing address

30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736
Phone (614) 888-8885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1407348022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354736",
            "telephone_number": "614-888-8885",
            "fax_number": "614-888-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354736",
            "telephone_number": "614-888-8885",
            "fax_number": "614-888-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE PASSPORT PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAJENDER",
        "authorized_official_middle_name": "ALUGUBELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-888-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "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 30, 2018; 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.