Provider Demographics
NPI:1043982531
Name:REALCARE COLUMBUS LLC
Entity Type:Organization
Organization Name:REALCARE COLUMBUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STRATEGY AND INNOVATION
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINHART
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:937-545-4159
Mailing Address - Street 1:8137 LINDEN LEAF CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4618
Mailing Address - Country:US
Mailing Address - Phone:614-682-2733
Mailing Address - Fax:
Practice Address - Street 1:8137 LINDEN LEAF CIR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4618
Practice Address - Country:US
Practice Address - Phone:614-682-2733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle