Reynoldsburg Health Realty

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

1588069991 Issued in OH

Legal business name

REYNOLDSBURG HEALTH REALTY

Practice address

166 W Houck St
Centerburg, OH 43011-7036

Phone

(513) 276-7137

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Alan Price

Title

Agent

Phone

(513) 276-7137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1063860708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HIDDEN RAVINES DR.",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "513-276-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W HOUCK ST",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430117036",
            "telephone_number": "513-276-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDSBURG HEALTH REALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "513-276-7137"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1588069991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588069991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Pfeifer
• Leshitha Nuwan Pilapitiya, M.D.
• Pamela Ann Priddy
• Res-Care Ohio, Inc.
• Emma Retherford
• James Rice
• Heather Dawn Ross
• Penny S Rudy, RD, LD
• Diana Helen Sakellis-Christofi, MA CCC/SLP
• Jennifer Lynn Schwamb, STNA

• Intellectual Disabilities Intermediate Care Facility in Centerburg, OH
• Providers in Centerburg, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.