NPIMap

Organization Active NPI

Lifecare Alliance

  • Voluntary or Charitable Agency
  • Columbus, OH
National Provider Identifier
1023280955
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LIFECARE ALLIANCE
Practice address
1699 W Mound St
Administration
Columbus, OH 43223-1809
Phone
(614) 278-3130
Fax
(614) 278-3143
NPI assigned
Apr 1, 2008
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Mr. Charles W Gehring
Title
President/Ceo
Phone
(614) 437-2801

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X OH Primary
Adult Health Nurse Practitioner 363LA2200X OH
Nutrition Education Nutritionist 133NN1002X OH
Registered Dietitian 133V00000X OH
Diagnostic Radiology Physician 2085R0202X OH
Occupational Therapist 225X00000X OH

Addresses

Primary practice location

1699 W Mound St
Administration
Columbus, OH 43223-1809

Mailing address

1699 W Mound St
Administration
Columbus, OH 43223-1809
Phone (614) 278-3130

Other identifiers 1

IdentifierTypeStateIssuer
2695169MedicaidOH

Other names 1

  • Error Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000251 OH Part B Supplier - Clinic/Group Practice 3274558713 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dayton, OH; Columbus, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Alliance3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

600 E 11th Ave
Columbus, OH 43211
Phone (614) 437-2876

670 Harmon Ave
Columbus, OH 43223
Phone (614) 437-2875

5955 W Broad St
Galloway, OH 43119
Phone (614) 437-2878

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1023280955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 W MOUND ST",
            "address_2": "ADMINISTRATION",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231809",
            "telephone_number": "614-278-3130",
            "fax_number": "614-278-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 W MOUND ST",
            "address_2": "ADMINISTRATION",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231809",
            "telephone_number": "614-278-3130",
            "fax_number": "614-278-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GEHRING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "614-437-2801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2695169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Error",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 11, 2024; 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.