Active NPI
Harrison West Senior Living, LLC
- Assisted Living Facility
- Columbus, OH
National Provider Identifier
1386432847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HARRISON WEST SENIOR LIVING, LLC
- Practice address
- 579 W 5TH Ave
Columbus, OH 43201-3174 - Phone
- (380) 208-1376
- NPI assigned
- Apr 25, 2025
- 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
- Shadoworee Betts
- Title
- Chief Operating Officer
- Phone
- (918) 592-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
579 W 5TH Ave
Columbus, OH 43201-3174
Mailing address
1516 S Boston Ave Ste 301
Tulsa, OK 74119-4019
Phone (918) 592-4400
Other names 1
- Harrison on 5th by Senior Star
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2274226 | Harrison West Senior Living, LLC | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
1516 S Boston Ave
Ste 301
Tulsa, OK 74119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1386432847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 S BOSTON AVE STE 301",
"city": "TULSA",
"state": "OK",
"postal_code": "741194019",
"telephone_number": "918-592-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 W 5TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013174",
"telephone_number": "380-208-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISON WEST SENIOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "BETTS",
"authorized_official_first_name": "SHADOWOREE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "918-592-4400"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harrison on 5th by Senior Star",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.