Organization Active NPI

Eve Residential Support LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1588296396
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVE RESIDENTIAL SUPPORT LLC
Practice address
2165 Cornell St
Columbus, OH 43219-3518
Phone
(614) 446-5014
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Anthony Zazayma BoakaiNPI 1720753486
Title
Ceo
Phone
(614) 446-5014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2165 Cornell St
Columbus, OH 43219-3518

Mailing address

2165 Cornell St
Columbus, OH 43219-3518
Phone (614) 446-5014

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dropbox

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1588296396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 CORNELL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193518",
            "telephone_number": "614-446-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 CORNELL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193518",
            "telephone_number": "614-446-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVE RESIDENTIAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BOAKAI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ZAZAYMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-446-5014"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dropbox",
            "affiliation": "N",
            "address_1": "2165 Cornell St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432193518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 10, 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.