Organization Active NPI

Isabelle Ridgway Care Center, Inc.

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1225024946
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1605N Issued in OH
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

Updated by the provider on May 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0305708MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.