NPIMap

Organization Active NPI

Gracehaven Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
National Provider Identifier
1003480542
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACEHAVEN INC
Practice address
5000 Arlington Centre Blvd # 9B
Columbus, OH 43220-3075
Phone
(614) 665-0665
NPI assigned
May 19, 2021
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Jennifer Taber
Title
Program Director
Phone
(614) 665-0665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU

Addresses

Primary practice location

5000 Arlington Centre Blvd # 9B
Columbus, OH 43220-3075

Mailing address

5000 Arlington Centre Blvd # 9B
Columbus, OH 43220-3075
Phone (614) 665-0665

National Provider Directory

National Provider Directory
Tax ID family
Gracehaven Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5000 Arlington Centre Blvd
#9B
Columbus, OH 43220
Phone (614) 665-0665

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1003480542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ARLINGTON CENTRE BLVD # 9B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203075",
            "telephone_number": "614-665-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ARLINGTON CENTRE BLVD # 9B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203075",
            "telephone_number": "614-665-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEHAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "614-665-0665"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.