NPIMap

Organization Active NPI

Mayfair Village Nursing Center

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1619274909
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
136511 Issued in OH
Legal business name
MAYFAIR VILLAGE NURSING CENTER
Practice address
3062 Vista View Blvd
Columbus, OH 43231-6922
Phone
(614) 352-8692
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Ms. Raven LeeNPI 1588993141
Title
LPN
Phone
(614) 352-8692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 136511 OH Primary

Addresses

Primary practice location

3062 Vista View Blvd
Columbus, OH 43231-6922

Mailing address

3062 Vista View Blvd
Columbus, OH 43231-6922
Phone (614) 352-8692

National Provider Directory

National Provider Directory
Tax ID family
Mayfair Village Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1619274909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 VISTA VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316922",
            "telephone_number": "614-352-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 VISTA VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316922",
            "telephone_number": "614-352-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR VILLAGE NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "614-352-8692",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "136511",
            "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 Feb 22, 2011; 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.