NCR Permanent Supportive Housing Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NCR PERMANENT SUPPORTIVE HOUSING SERVICES

Practice address

398 S Grant Ave
Columbus, OH 43215-5549

Phone

(614) 224-2988

Fax

(614) 716-0901

NPI assigned

Dec 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brianna Mettler

Title

President

Phone

(614) 451-2151

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• National Church Residences Permanent Supportive Housing Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Haycook, LISW-S

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1538408455
  Medicare reassignment NPD
• Andrea Lee Shields, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1205136207
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1003184367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-451-2151",
            "fax_number": "614-442-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155549",
            "telephone_number": "614-224-2988",
            "fax_number": "614-716-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCR PERMANENT SUPPORTIVE HOUSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-2151"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Church Residences Permanent Supportive Housing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NCH Yellow Pharmacy
• Dominic Nchamukong
• Ursula Nchichupa
• Matilda Nchotu
• NCK Residential Services LLC
• NCS Healthcare of Ohio, LLC
• Victorine Ankongbe Ndematebem
• Nancy W Nderitu
• Ndi, LTD
• Ngouye Fama Ndiaye

• Case Management Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.