Active NPI
Nationwide Residential Services
- Mental Illness Community Based Residential Treatment Facility
- Columbus, OH
National Provider Identifier
1750840773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Nationwide Childrens Hospital Homecare
- Nationwide Childrens Hospital Homecare
- Nationwide Childrens Hospital Homecare
- Nationwide Healthcare Services, LLC
- Nationwide Home Healthcare Agency LLC
- Nationwidechildren'S Hospital
- Native American Indian Center of Central Ohio
- Halie Natividad, MA, LPC
- Stayci Natterer
- Netti Nau
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.