Asur Supported Living Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ASUR SUPPORTED LIVING SERVICES LLC

Practice address

5150 E Main St Lowr Level
Columbus, OH 43213-2441

Phone

(614) 419-9493

NPI assigned

Oct 31, 2025

Organization subpart

No

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

Authorized official

Name

Tawain Gordon Jr

Title

Managing Member

Phone

(614) 946-5504

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1750250494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST LOWR LEVEL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-419-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST LOWR LEVEL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-419-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASUR SUPPORTED LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "GORDON JR",
        "authorized_official_first_name": "TAWAIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-946-5504"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Aston
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• Developmental Disabilities Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.