Shalom House South in Columbus - Intermediate Care Facility, Intellectual Disabilities
Shalom House South - NPI 1912961806
Shalom House South is a Intermediate Care Facility, Intellectual Disabilities in Columbus, Ohio. Shalom House South practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Shalom House South is 1912961806. The last update date is 2020-08-22.
Shalom House South's current location address is 1480 College Ave, Columbus, Ohio. You can contact this provider via phone number 6143382351 and fax number 6143382353. The mailing address for Shalom House South is 1480 College Ave, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shalom House South |
|---|---|
| Address | 1480 College Ave, Columbus, Ohio |
| Phone Number | 6143382351 |
| Fax Number | 6143382353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dodge Ruth |
| Credentials | QMRP |
| Telephone Number | 6142391999 |
NPI Number Detail
| NPI Number | 1912961806 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1480 College Ave |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432092888 |
| Phone Number | 6143382351 |
| Fax Number | 6143382353 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2512963 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 899201 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shalom House South by the Centers for Medicare & Medicaid Services?
The Shalom House South has been assigned the NPI (National Provider Identifier) 1912961806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Shalom House South's facilities are situated?
The facilities of Shalom House South are physically located at the following address: 1480 College Ave, Columbus, OH, 432092888.
What is the area of specialization for Shalom House South, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shalom House South is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912961806 to Shalom House South?
The Centers for Medicare & Medicaid Services assigned the 1912961806 to Shalom House South on 2006-04-17.
When was the information related to Shalom House South most recently updated or refreshed?
The details pertaining to the Shalom House South, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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