Organization Active NPI

Skilled Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1386067429
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2262646 Issued in OH
Legal business name
SKILLED HEALTHCARE, LLC
Practice address
1425 E Dublin Granville Rd
Suite 109
Columbus, OH 43229-3325
Phone
(614) 478-1700
Fax
(614) 478-1707
NPI assigned
Jan 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Authorized official

Name
Crystal Lynn Sillah, CNA
Title
Director
Phone
(614) 598-5636

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2262646 OH Primary
Nursing Care Agency 251J00000X 2262646 OH
PACE Provider Organization 251T00000X 2262646 OH
In Home Supportive Care Agency 253Z00000X 2262646 OH

Addresses

Primary practice location

1425 E Dublin Granville Rd
Suite 109
Columbus, OH 43229-3325

Mailing address

1425 E Dublin Granville Rd
Suite 109
Columbus, OH 43229-3325
Phone (614) 478-1700

National Provider Directory

National Provider Directory

Locations

1425 E Dublin Granville Rd
Ste 109
Columbus, OH 43229
Phone (614) 478-1700

NPI Registry JSON

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1386067429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE 109",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293325",
            "telephone_number": "614-478-1700",
            "fax_number": "614-478-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE 109",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293325",
            "telephone_number": "614-478-1700",
            "fax_number": "614-478-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "SILLAH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-598-5636",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2262646",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "2262646",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "OH",
            "license": "2262646",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "2262646",
            "primary": false
        }
    ],
    "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 Jan 25, 2014; 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.