Organization Active NPI

Gathering Place of Licking County, LLC

  • Adult Day Care Clinic/Center
  • Newark, OH
National Provider Identifier
1215532866
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GATHERING PLACE OF LICKING COUNTY, LLC
Practice address
35 Gainor Ave
Newark, OH 43055-4817
Phone
(740) 975-3372
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Mrs. Alyssa Sue Golden
Title
Owner
Phone
(740) 975-3372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

35 Gainor Ave
Newark, OH 43055-4817

Mailing address

35 Gainor Ave
Newark, OH 43055-4817
Phone (740) 975-3372

National Provider Directory

National Provider Directory

Locations

35 Gainor Ave
Newark, OH 43055
Phone (740) 975-3372

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1215532866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GAINOR AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554817",
            "telephone_number": "740-975-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GAINOR AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554817",
            "telephone_number": "740-975-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERING PLACE OF LICKING COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-975-3372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.