Active NPI
Scioto Retirement Community Inc
- Skilled Nursing Facility
- Columbus, OH
National Provider Identifier
1205823770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2378N
- Legal business name
- SCIOTO RETIREMENT COMMUNITY INC
- Practice address
- 433 Obetz Rd
Columbus, OH 43207-4098 - Phone
- (614) 491-2000
- Fax
- (614) 295-1414
- NPI assigned
- Sep 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jana Smith
- Title
- A/R Director
- Phone
- (937) 277-0505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2378R | OH | |
| Skilled Nursing Facility | 314000000X | 2378N | OH | Primary |
Addresses
Primary practice location
433 Obetz Rd
Columbus, OH 43207-4098
Mailing address
433 Obetz Rd
Columbus, OH 43207-4098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2377306 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322438400000",
"number": "1205823770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 OBETZ RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 OBETZ RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074098",
"telephone_number": "614-491-2000",
"fax_number": "614-295-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCIOTO RETIREMENT COMMUNITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2011-11-28",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JANA",
"authorized_official_title_or_position": "A/R DIRECTOR",
"authorized_official_telephone_number": "937-277-0505"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "2378R",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2378N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2377306",
"state": "OH"
}
],
"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 Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.