NPIMap

Organization Active NPI

Cardinal Gahanna, Inc.

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1972023844
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1930N Issued in OH
Legal business name
CARDINAL GAHANNA, INC.
Practice address
5151 N Hamilton Rd
Columbus, OH 43230-1313
Phone
(614) 337-1066
Fax
(614) 337-1013
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Joe Altieri
Title
President
Phone
(330) 936-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1930N OH Primary

Addresses

Primary practice location

5151 N Hamilton Rd
Columbus, OH 43230-1313

Mailing address

6967 Deer Trail Ave NE
Canton, OH 44721-2069
Phone (330) 936-7158

Other names 1

  • CREEKSIDE CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1972023844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6967 DEER TRAIL AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212069",
            "telephone_number": "330-936-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301313",
            "telephone_number": "614-337-1066",
            "fax_number": "614-337-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL GAHANNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "ALTIERI",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-936-7158"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1930N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKSIDE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CREEKSIDE CARE CENTER",
            "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 Jun 22, 2017; 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.