Oak Grove Manor Mrdd in Columbus - Intermediate Care Facility, Intellectual Disabilities
Oak Grove Manor Mrdd - NPI 1285762450
Oak Grove Manor Mrdd is a Intermediate Care Facility, Intellectual Disabilities in Columbus, Ohio. Oak Grove Manor Mrdd practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Oak Grove Manor Mrdd is 1285762450. The last update date is 2020-08-22.
Oak Grove Manor Mrdd's current location address is 1661 Old Henderson Rd, Columbus, Ohio. You can contact this provider via phone number 6144592482 and fax number 6144592641. The mailing address for Oak Grove Manor Mrdd is 1661 Old Henderson Rd, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oak Grove Manor Mrdd |
|---|---|
| Address | 1661 Old Henderson Rd, Columbus, Ohio |
| Phone Number | 6144592482 |
| Fax Number | 6144592641 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Aleman G Oscar |
| Telephone Number | 6144592482 |
NPI Number Detail
| NPI Number | 1285762450 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1661 Old Henderson Rd |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432203644 |
| Phone Number | 6144592482 |
| Fax Number | 6144592641 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 1783N |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2561464 | OH | -- |
Post Comment/ Review Below
What is the Oak Grove Manor Mrdd's 1285762450?
The Oak Grove Manor Mrdd's NPI (National Provider Identifier) Number is 1285762450. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Oak Grove Manor Mrdd's facilities are situated?
The facilities of Oak Grove Manor Mrdd are physically located at the following address: 1661 Old Henderson Rd, Columbus, OH, 432203644.
What is Oak Grove Manor Mrdd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Oak Grove Manor Mrdd is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285762450 to Oak Grove Manor Mrdd?
The Oak Grove Manor Mrdd received its 1285762450 assignment from the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details related to Oak Grove Manor Mrdd most recently updated or revised?
The information pertaining to Oak Grove Manor Mrdd, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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