Certify Agency Resources Enforcement, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CERTIFY AGENCY RESOURCES ENFORCEMENT, LLC

Practice address

2600 Hingham Lane
Columbus, OH 43224

Phone

(614) 800-9748

Fax

(614) 934-5732

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Jacqueline Juliet Tate, JACQUELINE J TATENPI 1982989679

Title

Ceo

Phone

(614) 800-9748

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• Certify Agency Resources Enforcement, LLC Doing business as
• Jacqueline J Tate Doing business as

Tax ID family

Certify Agency Resources Enforcement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Certify Agency Resources Enforcement

  • Foster Care Agency
  • Columbus, OH
  • NPI 1861789059
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Juliet Tate, NON PAR PROVIDER

  • Home Health Agency
  • Columbus, OH
  • NPI 1982989679
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1760152177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 HINGHAM LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243725",
            "telephone_number": "614-800-9748",
            "fax_number": "614-934-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HINGHAM LANE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43224",
            "telephone_number": "614-800-9748",
            "fax_number": "614-934-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 E College Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430811645",
            "country_code": "US",
            "telephone_number": "614-800-9748",
            "fax_number": "614-934-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CERTIFY AGENCY RESOURCES ENFORCEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JULIET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-800-9748",
        "authorized_official_credential": "JACQUELINE J TATE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053979",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2558101",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certify Agency Resources Enforcement, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacqueline J Tate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Cerri, MD
• Courtney Certain, D.O.
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• Certify Agency Resources Enforcement
• Certify Agency Resources Enforcement for Disabilities, LLC
• Certify Agency Resources Enforcement, LLC, in Louisiana
• Sarah Cervenec
• Christopher Cervenka, PT, DPT
• John Cervi, LSW
• Cesar Chavez College Preparatory School

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.