NPIMap

Organization Active NPI

Sanctuary at Tuttle Crossing Inc

  • Skilled Nursing Facility
  • Dublin, OH
National Provider Identifier
1740274125
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2195 Issued in OH
Legal business name
SANCTUARY AT TUTTLE CROSSING INC
Practice address
4880 Tuttle Rd
Dublin, OH 43017-7530
Phone
(614) 336-4182
Fax
(614) 336-4187
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Robert C Banasik, PHD
Title
President
Phone
(614) 299-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2195 OH Primary

Addresses

Primary practice location

4880 Tuttle Rd
Dublin, OH 43017-7530

Mailing address

PO Box 8309
1207 N High St
Columbus, OH 43201-0309
Phone (614) 299-3100

Other identifiers 1

IdentifierTypeStateIssuer
2077498MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1740274125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8309",
            "address_2": "1207 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010309",
            "telephone_number": "614-299-3100",
            "fax_number": "614-299-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 TUTTLE RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177530",
            "telephone_number": "614-336-4182",
            "fax_number": "614-336-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY AT TUTTLE CROSSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BANASIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-299-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.