Active NPI
Isabelle Ridgway Care Center, Inc.
- Skilled Nursing Facility
- Columbus, OH
National Provider Identifier
1225024946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1605N
- Legal business name
- ISABELLE RIDGWAY CARE CENTER, INC.
- Practice address
- 1520 Hawthorne Ave
Columbus, OH 43203-1762 - Phone
- (614) 252-4931
- Fax
- (614) 252-5911
- NPI assigned
- Sep 27, 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
- Ms. Patricia B Mullins
- Title
- President / Ceo
- Phone
- (614) 252-4931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1605N | OH | Primary |
Addresses
Primary practice location
1520 Hawthorne Ave
Columbus, OH 43203-1762
Mailing address
1520 Hawthorne Ave
Columbus, OH 43203-1762
Phone (614) 252-4931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305708 | 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": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1225024946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 HAWTHORNE AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031762",
"telephone_number": "614-252-4931",
"fax_number": "614-252-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 HAWTHORNE AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031762",
"telephone_number": "614-252-4931",
"fax_number": "614-252-5911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELLE RIDGWAY CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "MULLINS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "614-252-4931",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1605N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305708",
"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 May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.