Individual provider Active NPI

Tamiko Hollimon, HOME HEALTH CARE

  • Home Health Aide
  • Columbus, OH
National Provider Identifier
1508998451
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2241658 Issued in OH
Practice address
1570 Hansen Ave
Columbus, OH 43224-6202
Phone
(614) 571-7578
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2241658 OH Primary

Addresses

Primary practice location

1570 Hansen Ave
Columbus, OH 43224-6202

Mailing address

7014 Breckton PL
New Albany, OH 43054-8138
Phone (614) 975-6046

Other identifiers 1

IdentifierTypeStateIssuer
2241658MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2241658OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508998451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 BRECKTON PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548138",
            "telephone_number": "614-975-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 HANSEN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432246202",
            "telephone_number": "614-571-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIMON",
        "first_name": "TAMIKO",
        "credential": "HOME HEALTH CARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2241658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2241658",
            "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 Jul 9, 2007; 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.