Active NPI
Simply Independent LLC
- Home Health Aide
- Columbus, OH
National Provider Identifier
1972196376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SIMPLY INDEPENDENT LLC
- Practice address
- 3262 Henderson Rd Ste B
Columbus, OH 43220-4393 - Phone
- (614) 477-6515
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoire Fife
- Title
- Owner
- Phone
- (614) 477-6515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3262 Henderson Rd Ste B
Columbus, OH 43220-4393
Mailing address
4581 Dungannon Dr
Grove City, OH 43123-8469
Phone (614) 477-6515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182191 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3262 Henderson Rd
Ste B
Columbus, OH 43220
Phone (614) 477-6515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1972196376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4581 DUNGANNON DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238469",
"telephone_number": "614-477-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 HENDERSON RD STE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432204393",
"telephone_number": "614-477-6515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY INDEPENDENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "FIFE",
"authorized_official_first_name": "VICTOIRE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-477-6515"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0182191",
"state": "OH"
}
],
"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 Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.