The Manor at Whitehall

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4411 Issued in OH

Legal business name

THE MANOR AT WHITEHALL

Practice address

4805 Langley Ave
Columbus, OH 43213-6125

Phone

(614) 501-8271

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SHGAs reported in NPPES

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

Authorized official

Name

Ms. Trina Crawl, ST

Title

Facility Rehab Director

Phone

(256) 348-7536

Specialties & licenses 1

Addresses

Part of

SHG Whitehall Holdings LLC

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1699163089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 LANGLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136125",
            "telephone_number": "614-501-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 LANGLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136125",
            "telephone_number": "614-501-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR AT WHITEHALL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHG",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CRAWL",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "FACILITY REHAB DIRECTOR",
        "authorized_official_telephone_number": "256-348-7536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ST"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Columbus, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.