Columbus East Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLUMBUS EAST SENIOR LIVING LLC

Practice address

79 Blossom Field Blvd
Columbus, OH 43213-3076

Phone

(614) 530-7726

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Thieman

Title

Cfo

Phone

(614) 715-3213

Specialties & licenses 1

Addresses

Other names 1

• Cherry Blossom Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1609631803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 MANNING PKWY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659171",
            "telephone_number": "614-715-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BLOSSOM FIELD BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133076",
            "telephone_number": "614-530-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EAST SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "THIEMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-715-3213"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Blossom Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.

Verify at the official NPI Registry.