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AGENTIC CLIENT SUPPORT SERVICES LLC NPI 1033789177


NPI Information

NPI: 1033789177
Provider Name: AGENTIC CLIENT SUPPORT SERVICES LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
6281 MARSH WREN DR
COLUMBUS, OH
ZIP 43230
Phone: (614) 907-6782
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AGENTIC CLIENT SUPPORT SERVICES LLC is an in home supportive care in Columbus, OH. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AGENTIC CLIENT SUPPORT SERVICES LLC NPI is 1033789177. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6281 MARSH WREN DR
COLUMBUS, OH
ZIP 43230-533
Phone: (614) 907-6782

The provider's authorized official is Kurtis Mclendon .
The authorized official title is Agency Ceo and has the following contact phone number (419) 961-5104.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 6/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverNo
2251X00000XSupports BrokerageNo
3253Z00000XIn Home Supportive CareYes
4343900000XNon-emergency Medical Transport (VAN)No
5347C00000XPrivate VehicleNo
6372600000XAdult CompanionNo
73747P1801XTechnicianPersonal Care AttendantNo
8376J00000XHomemakerNo
9385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10444477MEDICAIDOHIO
22573689OTHEROHIOOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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