Living Hope Primary Health Care,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIVING HOPE PRIMARY HEALTH CARE,LLC

Doing business as

Living Hope Primary Health Care

Practice address

270 S Grant Ave
Columbus, OH 43215-5334

Phone

(614) 806-8865

NPI assigned

Dec 10, 2020

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Agyenim Boateng, CNPNPI 1033740824

Title

Provider

Phone

(614) 806-8865

Specialties & licenses 1

Addresses

Other names 1

• Living Hope Primary Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Agyenim Boateng, CNP

  • Family Nurse Practitioner
  • Reynoldsburg, OH
  • NPI 1033740824
  Medicare reassignment NPD Authorized official
• Ayan Aden Omar

  • Family Nurse Practitioner
  • Blacklick, OH
  • NPI 1801603162
  Medicare reassignment NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1679179980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155334",
            "telephone_number": "614-806-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155334",
            "telephone_number": "614-806-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE PRIMARY HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "AGYENIM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "614-806-8865",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Hope Primary Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Hope Primary Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Lively
• Christian John Livengood, PHARMD
• Dianna Alicia Livengood, FNP-C
• Patience Livermore
• Lance Thomas Livi, AA
• Living Independent Futures Everyday
• Living Life Home Care LLC
• Living Life Homecare II LLC
• Living-Water Healthcare Services LLC.
• Living-Water Plus Healthcare Services LLC

• Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.