NPIMap

Organization Active NPI

The Village Network

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1104214048
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
S.1450587 Issued in OH
Legal business name
THE VILLAGE NETWORK
Practice address
1751 E Long St
Columbus, OH 43203-2045
Phone
(614) 253-8050
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Malisa Dawn Peters, LSWNPI 1487147690
Title
Clinical Case Manager
Phone
(614) 253-8050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X S.1450587 OH Primary

Addresses

Primary practice location

1751 E Long St
Columbus, OH 43203-2045

Mailing address

1751 E Long St
Columbus, OH 43203-2045
Phone (614) 253-8050

National Provider Directory

National Provider Directory
Tax ID family
The Village Network Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1104214048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032045",
            "telephone_number": "614-253-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032045",
            "telephone_number": "614-253-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MALISA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CLINICAL CASE MANAGER",
        "authorized_official_telephone_number": "614-253-8050",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "S.1450587",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 30, 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.