Organization Active NPI

Central Ohio Nursing Agency, LLC

  • Nursing Care Agency
  • Columbus, OH
National Provider Identifier
1336306026
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
251J00000X Issued in OH
Legal business name
CENTRAL OHIO NURSING AGENCY, LLC
Practice address
4770 Indianola Ave
Suite 270
Columbus, OH 43214-1862
Phone
(614) 598-6396
Fax
(614) 781-0208
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Miss Sophia Loren Berry Stvictor
Title
Ceo/ President
Phone
(614) 598-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 251J00000X OH Primary

Addresses

Primary practice location

4770 Indianola Ave
Suite 270
Columbus, OH 43214-1862

Mailing address

4770 Indianola Ave
Suite 270
Columbus, OH 43214-1862
Phone (614) 598-6396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1336306026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE",
            "address_2": "SUITE 270",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-598-6396",
            "fax_number": "614-781-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE",
            "address_2": "SUITE 270",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-598-6396",
            "fax_number": "614-781-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO NURSING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BERRY STVICTOR",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "614-598-6396",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "251J00000X",
            "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 May 20, 2008; 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.