Organization Active NPI

Nationwide Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1750840773
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NATIONWIDE RESIDENTIAL SERVICES
Practice address
1150 Morse Rd Ste 110
Columbus, OH 43229-6327
Phone
(614) 432-3462
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Abdifatah Omar
Title
Owner
Phone
(614) 432-3462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1150 Morse Rd Ste 110
Columbus, OH 43229-6327

Mailing address

1150 Morse Rd Ste 110
Columbus, OH 43229-6327
Phone (614) 432-3462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1750840773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296327",
            "telephone_number": "614-432-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296327",
            "telephone_number": "614-432-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-432-3462"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 2019; 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.