Organization Active NPI

Elysian Care Agency LLC

  • In Home Supportive Care Agency
  • Reynoldsburg, OH
National Provider Identifier
1669224416
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELYSIAN CARE AGENCY LLC
Practice address
2106 Clay Stone PL
Reynoldsburg, OH 43068-4931
Phone
(614) 598-4313
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Ronesha Jeanne CrawfordNPI 1093565988
Title
Ceo
Phone
(614) 598-4313

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

2106 Clay Stone PL
Reynoldsburg, OH 43068-4931

Mailing address

2106 Clay Stone PL
Reynoldsburg, OH 43068-4931
Phone (614) 598-4313

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1669224416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 CLAY STONE PL",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684931",
            "telephone_number": "614-598-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 CLAY STONE PL",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684931",
            "telephone_number": "614-598-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RONESHA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-598-4313"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.