NPIMap

Organization Active NPI

Columbus Center for Human Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Worthington, OH
National Provider Identifier
1073064010
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2500243 Issued in OH
Legal business name
COLUMBUS CENTER FOR HUMAN SERVICES, INC.
Practice address
6535 Evening St
Worthington, OH 43085-3058
Phone
(614) 641-2900
Fax
(614) 278-1125
NPI assigned
Oct 14, 2016
Organization subpart
Yes
Parent organization
COLUMBUS CENTER FOR HUMAN SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Rebecca Leigh Sharp
Title
Executive Director
Phone
(614) 641-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2500243 OH Primary

Addresses

Primary practice location

6535 Evening St
Worthington, OH 43085-3058

Mailing address

540 Industrial Mile Rd
Columbus, OH 43228-2413
Phone (614) 641-2900

Other identifiers 4

IdentifierTypeStateIssuer
0536521MedicaidOH
2500243MedicaidOH
0119090MedicaidOH
0842131MedicaidOH

Other names 1

  • Evening Street ICF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCHS Inc-Johnstown4 organizations share this tax ID, including this one
Part of
CCHS Inc-Johnstown

Other organizations with this tax ID 3

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

Locations

540 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 274-1730

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1073064010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282413",
            "telephone_number": "614-641-2900",
            "fax_number": "614-278-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 EVENING ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853058",
            "telephone_number": "614-641-2900",
            "fax_number": "614-278-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CENTER FOR HUMAN SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS CENTER FOR HUMAN SERVICES, INC.",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-641-2901"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2500243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536521",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500243",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119090",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evening Street ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.