Organization Active NPI

One Community Developmental Support Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1790475804
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ONE COMMUNITY DEVELOPMENTAL SUPPORT SERVICES LLC
Practice address
1425 E Dublin Granville Rd Ste 105
Columbus, OH 43229-3312
Phone
(614) 906-4292
Fax
(614) 396-8841
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Godfred Owusu-Sekyere, CEO
Title
Owner
Phone
(614) 906-4292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1425 E Dublin Granville Rd Ste 105
Columbus, OH 43229-3312

Mailing address

325 Woodfield Dr
Lewis Center, OH 43035-3536
Phone (614) 906-4292

Other names 1

  • One Community Developmental Support Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1790475804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WOODFIELD DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430353536",
            "telephone_number": "614-906-4292",
            "fax_number": "614-396-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293312",
            "telephone_number": "614-906-4292",
            "fax_number": "614-396-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COMMUNITY DEVELOPMENTAL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "OWUSU-SEKYERE",
        "authorized_official_first_name": "GODFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-906-4292",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Community Developmental Support Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2023; 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.