Gahanna Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GAHANNA CARE LLC

Practice address

2567 Spark St
Fitchburg, WI 53711-9321

Phone

(614) 927-7562

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By 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

Shukri Ahmed Saed

Title

Owner/Admininstrator

Phone

(614) 927-7562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1972209443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 SPARK ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537119321",
            "telephone_number": "614-927-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 SPARK ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537119321",
            "telephone_number": "614-927-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANNA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SAED",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER/ADMININSTRATOR",
        "authorized_official_telephone_number": "614-927-7562"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.