CCHS Inc-Johnstown

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

2500243 Issued in OH

Legal business name

CCHS INC-JOHNSTOWN

Practice address

5006 Johnstown Rd
New Albany, OH 43054-9519

Phone

(614) 245-8720

NPI assigned

Mar 19, 2015

Organization subpart

Yes

Parent organization

COLUMBUS CENTER FOR HUMAN SERVICESAs reported in NPPES

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

Authorized official

Name

Rebecca Sharp

Title

Executive Director

Phone

(614) 272-3272

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

CCHS Inc-Johnstown4 organizations share this tax ID, including this one

Part of

CCHS Inc-Johnstown

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Columbus Center for Human Services Inc

  dba Supported Community Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbus, OH
  • NPI 1407905375
  NPD tax ID
• Columbus Center for Human Services Inc

  dba Park West Court Apartments

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbus, OH
  • NPI 1588713747
  NPD tax ID
• Columbus Center for Human Services, Inc.

  dba Evening Street ICF

  • Developmentally Disabled Services Day Training Agency
  • Worthington, OH
  • NPI 1073064010
  NPD tax ID

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1841684610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-279-5742",
            "fax_number": "614-279-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 JOHNSTOWN RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549519",
            "telephone_number": "614-245-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCHS INC-JOHNSTOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS CENTER FOR HUMAN SERVICES",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-272-3272"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2500243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536521",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in New Albany, OH
• Providers in New Albany, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.