Community Heritage Experience LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

COMMUNITY HERITAGE EXPERIENCE LLC

Practice address

6777 Gafford Dr
Columbus, OH 43229-1281

Phone

(614) 603-6872

NPI assigned

Oct 20, 2023

Organization subpart

No

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

Authorized official

Name

Emmanuel K Charles-Magao, CEO

Title

Ceo

Phone

(614) 603-6872

Specialties & licenses 1

Addresses

Other names 1

• Community Heritage Experience LLC Former legal business name

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1194507491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 GAFFORD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291281",
            "telephone_number": "614-603-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 GAFFORD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291281",
            "telephone_number": "614-603-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HERITAGE EXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "CHARLES-MAGAO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-603-6872",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Heritage Experience LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Living Experiences, Inc.
• Community Medical Center

• Child Intellectual and/or Developmental Disabilities Respite Care in Columbus, OH
• Providers in Columbus, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

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