Organization Active NPI

First Community Village

  • Assisted Living Facility
  • Columbus, OH
National Provider Identifier
1487112769
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIRST COMMUNITY VILLAGE
Practice address
1802 Riverside Dr
Columbus, OH 43212-1857
Phone
(614) 486-9511
NPI assigned
Mar 6, 2019
Organization subpart
Yes
Parent organization
FIRST COMMUNITY VILLAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Brianna Mettler
Title
President
Phone
(614) 451-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1802 Riverside Dr
Columbus, OH 43212-1857

Mailing address

5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 451-2151

Other identifiers 1

IdentifierTypeStateIssuer
2866260MedicaidOH

Other names 1

  • National Church Residences First Community Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Community Village2 organizations share this tax ID, including this one
Part of
First Community Village

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1487112769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-451-2151",
            "fax_number": "614-442-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 RIVERSIDE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121857",
            "telephone_number": "614-486-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST COMMUNITY VILLAGE",
        "enumeration_date": "2019-03-06",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-2151"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866260",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Church Residences First Community Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Church Residences First Community Village",
            "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 Oct 29, 2025; 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.