Organization Active NPI

Good Hands Supported Living, LTD.

  • Developmentally Disabled Services Day Training Agency
  • Columbus, OH
National Provider Identifier
1649435926
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2511455 Issued in OH
Legal business name
GOOD HANDS SUPPORTED LIVING, LTD.
Practice address
2491 E Dublin Granville Rd
Columbus, OH 43229-3521
Phone
(614) 899-7320
Fax
(614) 899-7326
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mr. Brahim Djafi
Title
Owner
Phone
(614) 899-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2511455 OH Primary

Addresses

Primary practice location

2491 E Dublin Granville Rd
Columbus, OH 43229-3521

Mailing address

2491 E Dublin Granville Rd
Columbus, OH 43229-3521
Phone (614) 899-7320

Other identifiers 1

IdentifierTypeStateIssuer
2147000MedicaidOH

National Provider Directory

National Provider Directory

Locations

2491 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 899-7320

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1649435926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293521",
            "telephone_number": "614-899-7320",
            "fax_number": "614-899-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2491 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293521",
            "telephone_number": "614-899-7320",
            "fax_number": "614-899-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HANDS SUPPORTED LIVING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "DJAFI",
        "authorized_official_first_name": "BRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-899-7320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2511455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147000",
            "state": "OH"
        }
    ],
    "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 Jul 25, 2008; 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.