Organization Active NPI

Eriksten, LLC.

  • Assisted Living Facility
  • Logan, OH
National Provider Identifier
1942631981
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2415R Issued in OH
Legal business name
ERIKSTEN, LLC.
Practice address
12 Carlin Dr
Logan, OH 43138-9273
Phone
(740) 380-6383
Fax
(740) 380-1024
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mrs. Melinda Erin Bailey, MBA
Title
President
Phone
(740) 380-6383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2415R OH Primary

Addresses

Primary practice location

12 Carlin Dr
Logan, OH 43138-9273

Mailing address

12 Carlin Dr
Logan, OH 43138-9273
Phone (740) 380-6383

Other names 1

  • Carlin House Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

12 Carlin Dr
Logan, OH 43138
Phone (740) 380-6383

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1942631981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CARLIN DR",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389273",
            "telephone_number": "740-380-6383",
            "fax_number": "740-380-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CARLIN DR",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389273",
            "telephone_number": "740-380-6383",
            "fax_number": "740-380-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKSTEN, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-380-6383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2415R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlin House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.