Organization Active NPI

Advance Global USA, LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1679975882
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANCE GLOBAL USA, LLC
Practice address
1491 Dobson Square North
Columbus, OH 43229
Phone
(614) 436-3451
Fax
(614) 288-2699
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Ebrima M Sidibeh, FCCA
Title
Chairman/Director
Phone
(614) 436-3451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Point of Service 305S00000X OH

Addresses

Primary practice location

1491 Dobson Square North
Columbus, OH 43229

Mailing address

1491 Dobson Square North
Columbus, OH 43229
Phone (614) 436-3451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1679975882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 DOBSON SQUARE NORTH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-436-3451",
            "fax_number": "614-288-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 DOBSON SQUARE NORTH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-436-3451",
            "fax_number": "614-288-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE GLOBAL USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SIDIBEH",
        "authorized_official_first_name": "EBRIMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHAIRMAN/DIRECTOR",
        "authorized_official_telephone_number": "614-436-3451",
        "authorized_official_credential": "FCCA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "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 18, 2014; 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.