Organization Active NPI

Opco Columbus, Oh, LLC

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1174428585
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO COLUMBUS, OH, LLC
Practice address
55 Lazelle Rd
Columbus, OH 43235-1402
Phone
(614) 885-3300
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Isaac Dole
Title
Manager
Phone
(872) 282-8001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

55 Lazelle Rd
Columbus, OH 43235-1402

Mailing address

2045 W Grand Ave Ste B-34572
Chicago, IL 60612-1576
Phone (872) 282-8001

Other names 2

  • Campbell Street Cares For Worthington Former legal business name
  • Willow Brook Former legal business name

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1174428585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "872-282-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAZELLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351402",
            "telephone_number": "614-885-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO COLUMBUS, OH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "872-282-8001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Street Cares For Worthington",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Willow Brook",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.