Active NPI
Washington Intergenerational Adult Daycare
- Adult Day Care Clinic/Center
- Columbus, OH
National Provider Identifier
1033524293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- WASHINGTON INTERGENERATIONAL ADULT DAYCARE
- Practice address
- 4241 Eastland Square Dr
Suite a
Columbus, OH 43232-5615 - Phone
- (614) 866-0100
- Fax
- (614) 866-0110
- NPI assigned
- Jun 26, 2014
- 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
- Mr. Dean Bernard Washington
- Title
- President
- Phone
- (614) 866-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
4241 Eastland Square Dr
Suite a
Columbus, OH 43232-5615
Mailing address
4241 Eastland Square Dr
Suite a
Columbus, OH 43232-5615
Phone (614) 866-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2103093 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Washington Intergenerational Adult Daycare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Columbus, OH
- NPI 1073875290
Locations
4241 Eastland Square Dr
Ste A
Columbus, OH 43232
Phone (614) 866-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1033524293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 EASTLAND SQUARE DR",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432325615",
"telephone_number": "614-866-0100",
"fax_number": "614-866-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 EASTLAND SQUARE DR",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432325615",
"telephone_number": "614-866-0100",
"fax_number": "614-866-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON INTERGENERATIONAL ADULT DAYCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-866-0100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103093",
"state": "OH"
}
],
"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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.