Active NPI
Nursing Aid
- Adult Care Home Facility
- Columbus, OH
National Provider Identifier
1417345356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 401273120711
- Legal business name
- NURSING AID
- Practice address
- 410 Watersway Lane
Columbus, OH 43213 - Phone
- (614) 589-4874
- NPI assigned
- Dec 30, 2014
- 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
- Mr. Fikre Worku Fetene, NURSE AID
- Title
- Nurse Aid
- Phone
- (614) 589-4874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 401273120711 | OH | Primary |
Addresses
Primary practice location
410 Watersway Lane
Columbus, OH 43213
Mailing address
410 Watersway LN
Columbus, OH 43213-6644
Phone (614) 589-4874
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419897600000",
"number": "1417345356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 WATERSWAY LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432136644",
"telephone_number": "614-589-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 WATERSWAY LANE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-589-4874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSING AID",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A",
"authorized_official_last_name": "FETENE",
"authorized_official_first_name": "FIKRE",
"authorized_official_middle_name": "WORKU",
"authorized_official_title_or_position": "NURSE AID",
"authorized_official_telephone_number": "614-589-4874",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NURSE AID"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "OH",
"license": "401273120711",
"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 Dec 30, 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.