Active NPI
Standard Care Supported Living, LLC
- Home Health Agency
- Canal Winchester, OH
National Provider Identifier
1376118067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STANDARD CARE SUPPORTED LIVING, LLC
- Doing business as
- Health Care
- Practice address
- 6365 Winchester Blvd 3 Ste C
Canal Winchester, OH 43110-2069 - Phone
- (614) 829-2809
- Fax
- (614) 829-7073
- NPI assigned
- May 25, 2021
- 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
- Rita R Walker
- Title
- Ceo
- Phone
- (614) 829-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6365 Winchester Blvd 3 Ste C
Canal Winchester, OH 43110-2069
Mailing address
6365 Winchester Blvd Ste C
Canal Winchester, OH 43110-2069
Phone (614) 829-2809
Other names 1
- Health Care
National Provider Directory
National Provider DirectoryLocations
6365 Winchester Blvd
Ste C
Canal Winchester, OH 43110
Phone (614) 829-2809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637884800000",
"number": "1376118067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6365 WINCHESTER BLVD STE C",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431102069",
"telephone_number": "614-829-2809",
"fax_number": "614-829-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 WINCHESTER BLVD 3 STE C",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431102069",
"telephone_number": "614-829-2809",
"fax_number": "614-829-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANDARD CARE SUPPORTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-829-2809"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.