ASHFORD AT STURBRIDGE LLC NPI 1841822020

NPI Information

NPI: 1841822020
Provider Name: ASHFORD AT STURBRIDGE, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D2197674

Address:
3700 STURBRIDGE CT
HILLIARD, OH
ZIP 43026
Phone: (614) 633-4811
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ASHFORD AT STURBRIDGE, LLC is an assisted living facility in Hilliard, 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. ASHFORD AT STURBRIDGE, LLC NPI is 1841822020. The provider is registered as an organization entity type.

The provider's business location address is:

3700 STURBRIDGE CT
HILLIARD, OH
ZIP 43026-334
Phone: (614) 633-4811

The provider's authorized official is Steven J Craig .
The authorized official title is Regional Bom and has the following contact phone number (614) 753-3961.

The CLIA number assigned to this NPI record is 36D2197674 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 9/10/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0358552	MEDICAID	OHIO

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

NPI Synchronization or Removal

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