College Park Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLLEGE PARK INC

Practice address

380 Browns LN
Suite 7
Coshocton, OH 43812-2073

Phone

(740) 623-4607

Fax

(740) 623-4618

NPI assigned

Jul 12, 2005

Organization subpart

No

Name

Mr. Timothy Postlewaite

Title

Administrator

Phone

(740) 623-4607

Locations

• College Park Home Care Plus Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2011.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1972501112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 BROWNS LN",
            "address_2": "SUITE 7",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122073",
            "telephone_number": "740-623-4607",
            "fax_number": "740-623-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BROWNS LN",
            "address_2": "SUITE 7",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122073",
            "telephone_number": "740-623-4607",
            "fax_number": "740-623-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "POSTLEWAITE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-623-4607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Home Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lynn Clark-Rodocker
• Danielle Nicole Clark, D.O.
• Lisa Renee Clark, AAS,QMHS
• Jordan Erica Cline, PHARMD
• Rachel E Coblentz, LSW
• Ashley Nichole Conidi, SPEECH-LANGUAGE PATH
• Nancy Jane Conkle
• Riley Conkle
• Carolyn Contonio, OTR/L
• Angela Copenhaver, MOT, OTR/L

• All providers in Coshocton, OH
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.