Organization Active NPI

Assisted Living in Home Care LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1932577079
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASSISTED LIVING IN HOME CARE LLC
Doing business as
Caring Senior Service of Columbus
Practice address
2000 Henderson Rd
Suite LL60
Columbus, OH 43220-2453
Phone
(614) 461-3976
Fax
(614) 567-3131
NPI assigned
Sep 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Authorized official

Name
Mr. Thomas Edward Bordonaro
Title
GM/Owner
Phone
(614) 419-3695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2000 Henderson Rd
Suite LL60
Columbus, OH 43220-2453

Mailing address

5157 Wabash River St
Dublin, OH 43016-7412
Phone (614) 419-3695

Other identifiers 1

IdentifierTypeStateIssuer
0118167MedicaidOH

Other names 1

  • Caring Senior Service of Columbus Doing business as

National Provider Directory

National Provider Directory

Locations

2000 Henderson Rd
Ste LL60
Columbus, OH 43220
Phone (614) 461-3976

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1932577079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 WABASH RIVER ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167412",
            "telephone_number": "614-419-3695",
            "fax_number": "614-567-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HENDERSON RD",
            "address_2": "SUITE LL60",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202453",
            "telephone_number": "614-461-3976",
            "fax_number": "614-567-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "BORDONARO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "GM/OWNER",
        "authorized_official_telephone_number": "614-419-3695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service of Columbus",
            "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 Sep 7, 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.