HEINZERLING MEMORIAL FOUNDATION (NPI# 1053524660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053524660 |
| Entity Type | Organization |
| Organization Name | HEINZERLING MEMORIAL FOUNDATION |
| Other Organization Name | HEINZERLING FOUNDATION |
| Practice Address |
1800 Heinzerling Dr Columbus OH 43223-3642 |
| Practice Telephone | 6142728888 |
| Practice Fax Number | 6142729989 |
| Mailing Telephone | 6142728888 |
| Mailing Fax Number | 6142729989 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | N. CHRISTINE RAFELD (ADMINISTRATOR) |
| Authorized Official Telephone | 6142728888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0421861 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 36G059 | 05 | |
| OH | MRDD LICENSURE | 0421681 | 01 |
| Other Name | Type Code |
|---|---|
| Heinzerling Foundation | Doing Business As Name - Organization |
| Street Address |
1800 HEINZERLING DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43223-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730016 | Willard Barker Fernald | Pediatrics | 1800 Heinzerling Dr, Columbus, OH 43223-3642 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121879 | Select Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1965 Zettler Center Dr, Columbus, OH 43223 | 2018-07-26 |
| 1659867778 | Latisha White | Licensed Practical Nurse | 765 Pierce Drive, Columbus, OH 43223 | 2018-07-02 |
| 1225522790 | Maressa K Carter | Behavior Technician | 735 Pierce Dr, Columbus, OH 43223 | 2018-06-19 |
| 1942704192 | Florence Arinaitwe | Counselor | Netcare Access, 199 S. Central Avenue, Columbus, OH 43223 | 2018-03-22 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1740711365 | Heather Price | Counselor | 1788 Winding Field St, Columbus, OH 43223 | 2017-03-24 |
| 1477848133 | Anu Raghavan | Psychiatry & Neurology | 199 S. Central Ave, Columbus, OH 43223 | 2011-06-10 |
| 1588837728 | Pomegranate Health Systems of Central Ohio, Inc. | Psychiatric Hospital | 765 Pierce Dr., Columbus, OH 43223 | 2008-04-09 |
| Find all providers in zip 43223 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680418 | Catapillars To Butterflies, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5900 Sharon Woods Blvd Ste D, Columbus, OH 43229-2600 | 2020-08-21 |
| 1720559420 | Secure Haven Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4295 Braunton Rd, Columbus, OH 43220-4301 | 2018-12-06 |
| 1851882617 | Cg-hhc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Civic Center Dr Ste 1200, Columbus, OH 43215-4234 | 2018-05-28 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1902286693 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1182 Hedding Rd, Columbus, NJ 08022 | 2015-06-08 |
| 1356658918 | Jireh Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3509 Refugee Rd, Columbus, OH 43232-4830 | 2010-09-02 |
| 1902077258 | Viaquest Healthcare Central | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5314 Redwood Rd, Columbus, OH 43229-4441 | 2008-03-14 |
| 1750576807 | Mental Retardation Waiver Program Muscogee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2007-09-12 |
| 1851507180 | Heinzerling Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1755 Heinzerling Dr, Columbus, OH 43223-3672 | 2007-05-15 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.