NPIMap

Organization Active NPI

Dedicated Columbus Ohio, LLC

Doing business as Dedicated Senior Medical Center Morse Road

  • Non-Pharmacy Dispensing Site
  • Columbus, OH
National Provider Identifier
1932660438
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DEDICATED COLUMBUS OHIO, LLC
Doing business as
Dedicated Senior Medical Center Morse Road
Practice address
2260 Morse Rd
Columbus, OH 43229-5858
Phone
(614) 702-7899
Fax
(305) 393-5989
NPI assigned
Mar 27, 2019
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEDICATED COLUMBUS OHIO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Mary Chen
Title
Owner
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2260 Morse Rd
Columbus, OH 43229-5858

Mailing address

2260 Morse Rd
Columbus, OH 43229-5858
Phone (614) 702-7899

Other names 1

  • Dedicated Senior Medical Center Morse Road Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730004345 OH Part B Supplier - Clinic/Group Practice 9032445929 Receives reassigned benefits from 53 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2171954Dedicated Senior Medical Center2260 Morse Rd, Columbus, OH 43229Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Columbus Ohio LLC4 organizations share this tax ID, including this one
Part of
Dedicated Columbus Ohio LLC

Other organizations with this tax ID 3

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

Locations

50 N Wilson Rd
Columbus, OH 43204
Phone (614) 702-7915

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1932660438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899",
            "fax_number": "305-393-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899",
            "fax_number": "305-393-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED COLUMBUS OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED COLUMBUS OHIO, LLC",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Senior Medical Center Morse Road",
            "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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.