Jacqueline J Tate

LBN: Certify Agency Resources Enforcement, Llc
Jacqueline J Tate is an health care organization with primary practice located at 2600 Hingham Lane , Columbus OH 43224. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Respite Care Facility / Respite Care. Agencies / Home Health is the primary health care specialty. Certify Agency Resources Enforcement, Llc can be contacted via phone (614) 800-9748, or through Tate, Jacqueline Juliet via phone (614) 800-9748.

Contact Information

Primary practice address
2600 Hingham Lane Columbus OH 43224
Fax: (614) 934-5732
Website:
Authorized official contact:
Name: Tate, Jacqueline Juliet JACQUELINE J TATE

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1760152177
LBN Legal business name Certify Agency Resources Enforcement, Llc
DBA Doing business as Jacqueline J Tate
Authorized official Tate, Jacqueline Juliet JACQUELINE J TATE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2021
Last updated Jan 23rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760152177 NPPES
Ohio MEDICAID 0053979
Ohio MEDICAID 2558101
Ohio MEDICAID 0055519

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