NPIMap

Organization Active NPI

Columbus Medical Services, LLC

Doing business as The Columbus Organization

  • Developmental Therapist
  • Hermitage, TN
National Provider Identifier
1104020452
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
COLUMBUS MEDICAL SERVICES, LLC
Doing business as
The Columbus Organization
Practice address
1004 Hickory Hill Lane
Suite 2
Hermitage, TN 37076
Phone
(615) 902-0950
Fax
(615) 902-0951
NPI assigned
Jun 12, 2007
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Ms. Kathleen M. O'Connor
Title
President
Phone
(610) 592-0292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Q00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TN

Addresses

Primary practice location

1004 Hickory Hill Lane
Suite 2
Hermitage, TN 37076

Mailing address

500 East Swedesford Road
Suite 100
Wayne, PA 19087
Phone (610) 592-0292

Other identifiers 1

IdentifierTypeStateIssuer
1512668MedicaidTN

Other names 1

  • The Columbus Organization Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbus Medical Services37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

500 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 592-0292

1004 Hickory Hill Ln
Ste 2
Hermitage, TN 37076
Phone (615) 902-0950

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1104020452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAST SWEDESFORD ROAD",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-592-0292",
            "fax_number": "888-379-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HICKORY HILL LANE",
            "address_2": "SUITE 2",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-902-0950",
            "fax_number": "615-902-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-592-0292",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512668",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Columbus Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.