Whitehall Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHITEHALL ASSISTED LIVING, LLC

Practice address

4801 E Broad St
Whitehall, OH 43213-1356

Phone

(614) 641-2995

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Steven J Craig

Title

Regional Bom

Phone

(614) 753-3961

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1770013013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W MAIN ST STE 200",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430541189",
            "telephone_number": "614-863-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E BROAD ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432131356",
            "telephone_number": "614-641-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL BOM",
        "authorized_official_telephone_number": "614-753-3961"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Adam Wentzel
• Braedyn West, LPC
• Nicole West, MSW LSW
• Emma White
• Zania White
• Whitehall City School District
• Whitehall City Schools
• Whitehall Family Health Center
• Whitehall Leasing Corp
• Jasmine Whitmire

• Assisted Living Facility in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.