FRANKLIN COUNTY RESIDENTIAL SERVICES, INC. (NPI# 1417165846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165846 |
| Entity Type | Organization |
| Organization Name | FRANKLIN COUNTY RESIDENTIAL SERVICES, INC. |
| Other Organization Name | KIMBERLY WOODS HOME |
| Practice Address |
2434 Kimberly Woods Dr Columbus OH 43232-4290 |
| Mailing Address |
1021 Checkrein Ave Columbus OH 43229-1106 |
| Practice Telephone | 6148443800 |
| Practice Fax Number | 6148445913 |
| Mailing Telephone | 6148443800 |
| Mailing Fax Number | 6148445913 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ED HARPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6148443800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2512507 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0675032 | 05 |
| Other Name | Type Code |
|---|---|
| Kimberly Woods Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881802254 | Franklin County Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4410 Morse Rd, Columbus, OH 43230-1382 | 2007-05-18 |
| 1578771911 | Franklin County Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5684 Dierker Rd, Columbus, OH 43235-7114 | 2007-05-18 |
| 1326256785 | Franklin County Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4196 Mcdowell Rd, Grove City, OH 43123-3909 | 2007-05-18 |
| Street Address |
2434 KIMBERLY WOODS DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865568 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 2433 Teakwood Dr, Columbus, OH 43229-9328 | 2016-08-12 |
| 1386197929 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 1382 Ida Ave, Columbus, OH 43212-2908 | 2016-08-01 |
| 1053864694 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 4171 Maize Rd, Columbus, OH 43224-1951 | 2016-08-01 |
| 1376096909 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 2357 Hampstead Dr, Columbus, OH 43229-2852 | 2016-08-01 |
| 1619420254 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 3860 Kimberly Pkwy N, Columbus, OH 43232-4267 | 2016-08-01 |
| 1265629448 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 340 Derrer Rd, Columbus, OH 43204-1127 | 2007-10-01 |
| 1114127743 | Rescare Ohio Inc.. | Intermediate Care Facility, Mentally Retarded | 4133 Karl Rd, Columbus, OH 43224-2054 | 2007-07-22 |
| 1881802254 | Franklin County Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4410 Morse Rd, Columbus, OH 43230-1382 | 2007-05-18 |
| 1174731996 | Residential Options, Inc | Intermediate Care Facility, Mentally Retarded | 3273 Shasta Ave, Columbus, OH 43231-3160 | 2007-05-18 |
| 1578771911 | Franklin County Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5684 Dierker Rd, Columbus, OH 43235-7114 | 2007-05-18 |
| 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.