Active NPI
Hamidou Fofana
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1992067011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 159087
- Practice address
- 4226 Sestos Dr
Columbus, OH 43207-8431 - Phone
- (614) 735-9273
- Fax
- (614) 295-8462
- NPI assigned
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN.482536 | OH | |
| Contractor | 171W00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Licensed Practical Nurse | 164W00000X | 159087 | OH | Primary |
Addresses
Primary practice location
4226 Sestos Dr
Columbus, OH 43207-8431
Mailing address
5405 Mendon CT
Columbus, OH 43232-5467
Phone (614) 577-1765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.482536 | OH | MD | Home Health Registered Nurse |
| 159087 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Care Services,LLC | Current | Accepting new patients | |
| Better Care Services,LLC | Respite Care, Intellectual and/Or Developmental Disabilities, Child | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Reynoldsburg, OH
- NPI 1295297034
Respite Care, Intellectual and/Or Developmental Disabilities, Child
-
- In Home Supportive Care Agency
- Reynoldsburg, OH
- NPI 1790447779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1992067011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 MENDON CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432325467",
"telephone_number": "614-577-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4226 SESTOS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432078431",
"telephone_number": "614-735-9273",
"fax_number": "614-295-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOFANA",
"first_name": "HAMIDOU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN.482536",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "159087",
"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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.