NPIMap

Organization Active NPI

Dtac of Ohio LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1851096473
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DTAC OF OHIO LLC
Practice address
774 Internet Dr
Columbus, OH 43207-2589
Phone
(614) 443-5454
NPI assigned
Apr 3, 2023
Organization subpart
Yes
Parent organization
TIFF HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Richard Armstrong
Title
Chief Clinical Officer
Phone
(570) 490-4351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

774 Internet Dr
Columbus, OH 43207-2589

Mailing address

774 Internet Dr
Columbus, OH 43207-2589

Other names 1

  • Hittle House Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1851096473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 INTERNET DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 INTERNET DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072589",
            "telephone_number": "614-443-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTAC OF OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIFF HEALTH LLC",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "570-490-4351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hittle House",
            "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 Apr 3, 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.