CREEKSIDE AT THE VILLAGE NPI 1720203698

NPI Information

CREEKSIDE AT THE VILLAGE is an assisted living facility in Columbus, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CREEKSIDE AT THE VILLAGE NPI is 1720203698. The provider is registered as an organization entity type.
The provider Other Name Is Wexner Heritage Village.

The provider's business location address is:

2200 WELCOME PL
COLUMBUS, OH
ZIP 43209-964
Phone: (614) 559-5500
Fax: (614) 559-5638

The provider's authorized official is Nisha Hammel .
The authorized official title is Executive Director and has the following contact phone number (614) 559-0304.

The CLIA number assigned to this NPI record is 36D2016060 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.

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:

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