NPIMap

Organization Active NPI

Heinzerling Memorial Foundation

Doing business as Heinzerling Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1053524660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
0421861 Issued in OH
Legal business name
HEINZERLING MEMORIAL FOUNDATION
Doing business as
Heinzerling Foundation
Practice address
1800 Heinzerling Dr
Columbus, OH 43223-3642
Phone
(614) 272-8888
Fax
(614) 272-9989
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
N. Christine Rafeld
Title
Administrator
Phone
(614) 272-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 0421861 OH Primary

Addresses

Primary practice location

1800 Heinzerling Dr
Columbus, OH 43223-3642

Mailing address

1800 Heinzerling Dr
Columbus, OH 43223-3642
Phone (614) 272-8888

Other identifiers 2

IdentifierTypeStateIssuer
0421681OtherOHMRDD LICENSURE
36G059MedicaidOH

Other names 1

  • Heinzerling Foundation Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0684512Heinzerling Memorial Foundation1800 Heinzerling Drive, Columbus, OH 43223Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Heinzerling 16054 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053524660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HEINZERLING DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233642",
            "telephone_number": "614-272-8888",
            "fax_number": "614-272-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HEINZERLING DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233642",
            "telephone_number": "614-272-8888",
            "fax_number": "614-272-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINZERLING MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAFELD",
        "authorized_official_first_name": "N. CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-272-8888"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0421861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDD LICENSURE",
            "identifier": "0421681",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36G059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heinzerling Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.