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GOODWILL INDUSTRIES OF CENTRAL OHIO INC. NPI 1992885529


NPI Information

NPI: 1992885529
Provider Name: GOODWILL INDUSTRIES OF CENTRAL OHIO, INC.

Doing Business As: GOODWILL COLUMBUS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D0698003

Address:
1331 EDGEHILL RD
COLUMBUS, OH
ZIP 43212
Phone: (614) 294-5181
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GOODWILL INDUSTRIES OF CENTRAL OHIO, INC. 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. GOODWILL INDUSTRIES OF CENTRAL OHIO, INC. NPI is 1992885529. The provider is registered as an organization entity type.
The provider Is Doing Business As Goodwill Columbus.

The provider's business location address is:

1331 EDGEHILL RD
COLUMBUS, OH
ZIP 43212-123
Phone: (614) 294-5181
Fax: (614) 294-6895

The provider's authorized official is Anthony Hartley .
The authorized official title is Vice President Of Finance and has the following contact phone number (614) 294-5181.

The CLIA number assigned to this NPI record is 36D0698003 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityOHIOYes
2310500000XIntermediate Care Facility, Mental IllnessOHIOX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10523740MEDICAIDOHIO
22501573MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.