Profound Care,LLC.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN. 311778 Issued in OH

Legal business name

PROFOUND CARE,LLC.

Practice address

5289 Eisenhower Rd
Columbus, OH 43229-5016

Phone

(614) 433-0064

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward Raymond Leake, BSN,RN,MS

Title

Owner

Phone

(614) 433-0064

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1457474876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5289 EISENHOWER ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295016"
        },
        {
            "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": "614-433-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND CARE,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-433-0064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN,RN,MS"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN. 311778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE STAR IPN",
            "identifier": "2624066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.