NPIMap

Organization Active NPI

Ohio Living Holdings

  • Voluntary or Charitable Agency
  • Sidney, OH
National Provider Identifier
1619178357
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
OHIO LIVING HOLDINGS
Practice address
3003 Cisco Rd
Sidney, OH 45365-9343
Phone
(937) 415-5666
Fax
(937) 415-5690
NPI assigned
May 30, 2007
Last updated
Jan 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Authorized official

Name
Laurence C Gumina
Title
Ceo
Phone
(614) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3003 Cisco Rd
Sidney, OH 45365-9343

Mailing address

1001 Kingsmill Pkwy
Columbus, OH 43229-1129
Phone (614) 888-7800

Other practice location 1

6520 Poe Ave
Suite 100
Dayton, OH 45414-2527
Phone (937) 415-5666

Other identifiers 1

IdentifierTypeStateIssuer
411852OtherOHPASSPORT ID

National Provider Directory

National Provider Directory
Tax ID family
Senior Independence14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

3003 Cisco Rd
Sidney, OH 45365
Phone (937) 415-5666

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548547200000",
    "number": "1619178357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KINGSMILL PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291129",
            "telephone_number": "614-888-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CISCO RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659343",
            "telephone_number": "937-415-5666",
            "fax_number": "937-415-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 Poe Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142527",
            "country_code": "US",
            "telephone_number": "937-415-5666",
            "fax_number": "937-415-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIO LIVING HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO LIVING",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-01-27",
        "status": "A",
        "authorized_official_last_name": "GUMINA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ID",
            "identifier": "411852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.