Organization Active NPI

Stone Arch Residential Care LLC

  • Assisted Living Facility
  • Columbus, OH
National Provider Identifier
1134813959
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STONE ARCH RESIDENTIAL CARE LLC
Practice address
4314 Goldengate SQ W
Columbus, OH 43224-4703
Phone
(614) 881-1181
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Khadija Hassan JamaNPI 1003684408
Title
Administrator
Phone
(614) 881-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4314 Goldengate SQ W
Columbus, OH 43224-4703

Mailing address

4314 Goldengate SQ W
Columbus, OH 43224-4703
Phone (614) 881-1181

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1134813959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 GOLDENGATE SQ W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244703",
            "telephone_number": "614-881-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 GOLDENGATE SQ W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244703",
            "telephone_number": "614-881-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE ARCH RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-881-1181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Jun 5, 2023; 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.