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BOSCHULTE'S PRIDE II LLC NPI 1912158304


NPI Information

NPI: 1912158304
Provider Name: BOSCHULTE'S PRIDE II LLC
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 36D1095399

Address:
2242 S HAMILTON RD STE 201
COLUMBUS, OH
ZIP 43232
Phone: (614) 751-6308
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BOSCHULTE'S PRIDE II LLC is a home health in Columbus, OH. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BOSCHULTE'S PRIDE II LLC NPI is 1912158304. The provider is registered as an organization entity type.

The provider's business location address is:

2242 S HAMILTON RD STE 201
COLUMBUS, OH
ZIP 43232-300
Phone: (614) 751-6308
Fax: (614) 751-6342

The provider's authorized official is Mary L Boschulte .
The authorized official title is Administrator/director Of Nursing and has the following contact phone number (614) 751-6308.

The CLIA number assigned to this NPI record is 36D1095399 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 3/14/2017.


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
1251E00000XHome HealthYes

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
13073847MEDICAIDOHIO
2368282MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.