Organization Active NPI

Personalized Healthcare Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1902178130
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONALIZED HEALTHCARE SERVICES LLC
Practice address
4663 Executive Dr
Ste# 1
Columbus, OH 43220
Phone
(614) 745-1176
Fax
(614) 754-1288
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Ms. Karen S David, R.N., B.S.C.,
Title
President/Ceo
Phone
(614) 754-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

4663 Executive Dr
Ste# 1
Columbus, OH 43220

Mailing address

4663 Executive Dr
Ste# 1
Columbus, OH 43220-3627
Phone (614) 754-1176

National Provider Directory

National Provider Directory

Locations

4663 Executive Dr
Ste 1
Columbus, OH 43220
Phone (614) 745-1176

3314 Morse Rd
Ste 212
Columbus, OH 43231
Phone (614) 395-1545

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1902178130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 EXECUTIVE DR",
            "address_2": "STE# 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203627",
            "telephone_number": "614-754-1176",
            "fax_number": "614-754-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 EXECUTIVE DR",
            "address_2": "STE# 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-745-1176",
            "fax_number": "614-754-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "614-754-1176",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., B.S.C.,"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 27, 2015; 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.