SM Adult Day Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SM ADULT DAY SERVICES LLC

Practice address

3556 Sullivant Ave Ste 303
Columbus, OH 43204-1153

Phone

(614) 260-0471

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Mahdi I Anshur

Title

Owner

Phone

(614) 260-0471

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1336772227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 SULLIVANT AVE STE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041153",
            "telephone_number": "614-260-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 SULLIVANT AVE STE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041153",
            "telephone_number": "614-260-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM ADULT DAY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "ANSHUR",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-260-0471"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE",
            "identifier": "1221",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharhonda Renee Sly, LISW-S
• Julie Slyby
• Katie Shae Slyh, DPT
• Kristina Renae Slyh, DO
• Rhonda Slyh, RPH
• Amina Smajlovic, MD
• Small Smiles Dental Center of West Columbus, LLC
• Karin Patricia Small Wurapa, MD, MPH, FAAFP
• Alexander James Small, MD
• Bronwyn Larissa Small, M.D.

• Developmentally Disabled Services Day Training Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.