Active NPI
LP Columbus, LLC
Doing business as Minerva Park Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Columbus, OH
National Provider Identifier
1669887717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LP COLUMBUS, LLC
- Doing business as
- Minerva Park Healthcare & Rehabilitation Center
- Practice address
- 5460 Cleveland Ave
Columbus, OH 43231-4005 - Phone
- (614) 882-2490
- Fax
- (614) 882-6767
- NPI assigned
- Jun 27, 2014
- Last updated
- Aug 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5460 Cleveland Ave
Columbus, OH 43231-4005
Mailing address
5460 Cleveland Ave
Columbus, OH 43231-4005
Phone (614) 882-2490
Other names 1
- Minerva Park Healthcare & Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406851200000",
"number": "1669887717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432314005",
"telephone_number": "614-882-2490",
"fax_number": "614-882-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432314005",
"telephone_number": "614-882-2490",
"fax_number": "614-882-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP COLUMBUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-27",
"last_updated": "2014-08-01",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "502-568-7800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Minerva Park Healthcare & Rehabilitation Center",
"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 Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.