Organization Active NPI

Seeds of Change Nutrition, LLC

  • Community Health Clinic/Center
  • Gahanna, OH
National Provider Identifier
1194463117
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SEEDS OF CHANGE NUTRITION, LLC
Practice address
1189 Grove Dr
Gahanna, OH 43230-6223
Phone
(614) 446-2704
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Ms. Florence E Koors, DTR, CHCNPI 1467085670
Title
Owner/Certified Health Coach
Phone
(614) 446-2704

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
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1189 Grove Dr
Gahanna, OH 43230-6223

Mailing address

1189 Grove Dr
Gahanna, OH 43230-6223
Phone (614) 446-2704

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": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1194463117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 GROVE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306223",
            "telephone_number": "614-446-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 GROVE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306223",
            "telephone_number": "614-446-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "KOORS",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CERTIFIED HEALTH COACH",
        "authorized_official_telephone_number": "614-446-2704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DTR,  CHC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.