PROFOUND CARELLC. NPI 1457474876

NPI Information

NPI: 1457474876
Provider Name: PROFOUND CARE,LLC.
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
5289 EISENHOWER RD
COLUMBUS, OH
ZIP 43229
Phone: (614) 433-0064
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PROFOUND CARE,LLC. is a home health registered nurse in Columbus, OH. PROFOUND CARE,LLC. NPI is 1457474876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5289 EISENHOWER RD
COLUMBUS, OH
ZIP 43229-016
Phone: (614) 433-0064

The provider's authorized official is Edward Raymond Leake .
The authorized official title is Owner and has the following contact phone number (614) 433-0064.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 4/23/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	RN. 311778	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2624066	OTHER	OHIO	CARE STAR IPN

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: 4/28/2024

NPI Synchronization or Removal

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