Organization Active NPI

Healthcare Ventures of Ohio, LLC

Doing business as Autumn Court

  • Skilled Nursing Facility
  • Ottawa, OH
National Provider Identifier
1942376868
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1543N Issued in OH
Legal business name
HEALTHCARE VENTURES OF OHIO, LLC
Doing business as
Autumn Court
Practice address
1925 E 4TH St
Ottawa, OH 45875-1540
Phone
(419) 523-4370
Fax
(419) 523-3591
NPI assigned
Nov 24, 2006
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Oscar G Aleman
Title
Controller
Phone
(614) 459-2482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1543N OH Primary

Addresses

Primary practice location

1925 E 4TH St
Ottawa, OH 45875-1540

Mailing address

1661 Old Henderson Rd
Columbus, OH 43220-3644
Phone (614) 459-2482

Other identifiers 1

IdentifierTypeStateIssuer
2561357MedicaidOH

Other names 1

  • Autumn Court Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1942376868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203644",
            "telephone_number": "614-459-2482",
            "fax_number": "614-459-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751540",
            "telephone_number": "419-523-4370",
            "fax_number": "419-523-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE VENTURES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-459-2482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1543N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.