Active NPI
Homeland Clinic
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
National Provider Identifier
1023865151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- HOMELAND CLINIC
- Practice address
- 3505 E Livingston Ave Ste G
Columbus, OH 43227-2252 - Phone
- (614) 715-8216
- Fax
- (614) 715-8239
- NPI assigned
- May 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kingsley Enow, NP
- Title
- Nurse Practitioner
- Phone
- (614) 715-8216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
3505 E Livingston Ave Ste G
Columbus, OH 43227-2252
Mailing address
3505 E Livingston Ave Ste G
Columbus, OH 43227-2252
Phone (614) 715-8216
National Provider Directory
National Provider Directory- Tax ID family
- Homeland Addiction Treatment Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1083461123
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1356020515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1477815892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734998400000",
"number": "1023865151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 E LIVINGSTON AVE STE G",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272252",
"telephone_number": "614-715-8216",
"fax_number": "614-715-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 E LIVINGSTON AVE STE G",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272252",
"telephone_number": "614-715-8216",
"fax_number": "614-715-8239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMELAND CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A",
"authorized_official_last_name": "ENOW",
"authorized_official_first_name": "KINGSLEY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "614-715-8216",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.