Organization Active NPI

Washington Intergenerational Adult Daycare

  • Adult Day Care Clinic/Center
  • Columbus, OH
National Provider Identifier
1033524293
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Jun 26, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2103093MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Washington Intergenerational Adult Daycare2 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

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.

Verify at the official NPI Registry.