ASUR SUPPORTED LIVING SERVICES LLC NPI 1750250494

NPI Information

  • NPI: 1750250494
  • Provider Name: ASUR SUPPORTED LIVING SERVICES LLC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 5150 E MAIN ST LOWR LEVEL
    COLUMBUS, OH
    ZIP 43213
  • Phone: (614) 419-9493

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NPI Details

ASUR SUPPORTED LIVING SERVICES LLC is a developmental disabilities clinic center in Columbus, OH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). ASUR SUPPORTED LIVING SERVICES LLC NPI is 1750250494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5150 E MAIN ST LOWR LEVEL
COLUMBUS, OH
ZIP 43213-441
Phone: (614) 419-9493

The provider's authorized official is Tawain Gordon Jr .
The authorized official title is Managing Member and has the following contact phone number (614) 946-5504.

The enumeration date for this NPI number is 10/31/2025 and was last updated on 10/31/2025.

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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 11/21/2025

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