Organization Active NPI

Carestar

  • Exclusive Provider Organization
  • Columbus, OH
National Provider Identifier
1942332069
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
RP008385 Issued in OH
Legal business name
CARESTAR
Practice address
3035 Falcon Bridge Dr
Columbus, OH 43232-5428
Phone
(614) 860-9307
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mrs. Renee Louise Canning, LPN
Title
License Practical Nurse
Phone
(614) 860-9307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X RP008385 OH Primary

Addresses

Primary practice location

3035 Falcon Bridge Dr
Columbus, OH 43232-5428

Mailing address

3035 Falcon Bridge Dr
Columbus, OH 43232-5428
Phone (614) 860-9307

Other identifiers 1

IdentifierTypeStateIssuer
2702418MedicaidOH

Other names 1

  • Medicaid Private Provider Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1942332069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 FALCON BRIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325428",
            "telephone_number": "614-860-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 FALCON BRIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325428",
            "telephone_number": "614-860-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CANNING",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "LICENSE PRACTICAL NURSE",
        "authorized_official_telephone_number": "614-860-9307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "RP008385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702418",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicaid Private Provider",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 24, 2008; 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.