Broadview NH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROADVIEW NH, LLC

Doing business as

The Rehabilitation and Health Center of Gahanna

Practice address

5151 N Hamilton Rd
Columbus, OH 43230-1313

Phone

(614) 337-1066

Fax

(614) 337-4039

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. William P Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation and Health Center of Gahanna Doing business as

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1750691432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301313",
            "telephone_number": "614-337-1066",
            "fax_number": "614-337-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301313",
            "telephone_number": "614-337-1066",
            "fax_number": "614-337-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVIEW NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096153",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation and Health Center of Gahanna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ann Broadnax
• Tiffany Broadnax
• Amber D Broadus, CHW
• Bonnie Gail Keshabon Broadus
• Kelon Broadus
• Courtney Broady, RD, LD
• Gina Marie Brobeck, LPCC-S
• Steven Brobst
• Daniel J. Brochetti, LISW
• Evan Daniel Brochin, MD

• Skilled Nursing Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.