NPIMap

Organization Active NPI

Maryhaven

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1285119180
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MARYHAVEN
Practice address
100 Noe Bixby Rd
Columbus, OH 43213-1460
Phone
(614) 702-4503
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Ms. Shniese G Horton, CDCA/ ON HOLD
Title
Pca
Phone
(614) 892-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

100 Noe Bixby Rd
Columbus, OH 43213-1460

Mailing address

100 Noe Bixby Rd
Columbus, OH 43213-1460
Phone (614) 702-4503

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1285119180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131460",
            "telephone_number": "614-702-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131460",
            "telephone_number": "614-702-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "SHNIESE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PCA",
        "authorized_official_telephone_number": "614-892-2454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDCA/ ON HOLD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2018; 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.