Jacqueline Juliet Tate, NON PAR PROVIDER

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

2600 Hingham LN
Columbus, OH 43224-3725

Phone

(614) 800-9748

Fax

(614) 934-5732

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Certify Agency Resources Enforcement

  • Foster Care Agency
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  • NPI 1861789059

  Home Health

  NPD Authorized official
• Certify Agency Resources Enforcement, LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1760152177
  NPD Authorized official
• Certify Agency Resources Enforcement, LLC, in Louisiana

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1619254711

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1982989679",
    "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": "614-800-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "JACQUELINE",
        "middle_name": "JULIET",
        "name_prefix": "Mrs.",
        "credential": "NON PAR PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053979",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER PROVIDER",
            "identifier": "1982989679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Tate
• April Tate
• Carlesha A Tate
• Donnita J Tate, APRNCNP
• Eddie Tate
• Jermaine Antoine Tate
• Jessica Tate, RN
• Judith A Tate, M.A.
• Leah Rosalyn Tate, DDS
• Tanisha Tate

• 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 Nov 8, 2022; 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.