Organization Active NPI

Amidah Home Care LLC

  • Registered Nurse
  • Columbus, OH
National Provider Identifier
1487266607
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
AMIDAH HOME CARE LLC
Practice address
2144 Sumac Loop S
Columbus, OH 43229-3939
Phone
(713) 589-3320
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Jane A Koroma, NP
Title
Presicent
Phone
(330) 622-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2144 Sumac Loop S
Columbus, OH 43229-3939

Mailing address

2144 Sumac Loop S
Columbus, OH 43229-3939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1487266607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 SUMAC LOOP S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 SUMAC LOOP S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293939",
            "telephone_number": "713-589-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIDAH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESICENT",
        "authorized_official_telephone_number": "330-622-3559",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "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 Sep 24, 2020; 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.