GORDRELL ENTERPRISES LLC (NPI# 1447888912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447888912 |
| Entity Type | Organization |
| Organization Name | GORDRELL ENTERPRISES LLC |
| Practice Address |
2246 S Hamilton Rd Ste 100 Columbus OH 43232-4317 |
| Practice Telephone | 6149465504 |
| Mailing Telephone | 6149465504 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | TOMIKA DARNELL GORDON (CEO) |
| Authorized Official Telephone | 6143798787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521178 | Gordrell Enterprises LLC | Private Vehicle | 2244 S Hamilton Rd Ste 101c, Columbus, OH 43232-4390 | 2020-09-04 |
| 1578179982 | Gordrell Enterprises LLC | Non-emergency Medical Transport (VAN) | 2244 S Hamilton Rd Ste 101c, Columbus, OH 43232-4390 | 2020-09-21 |
| 1982223699 | Gordrell Enterprises LLC | Counselor | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-13 |
| 1992324867 | Gordrell Enterprises LLC | Community/Behavioral Health | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-10 |
| Street Address |
2246 S HAMILTON RD STE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104084763 | Thomas K Ballentine | Counselor | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2008-05-29 |
| 1346858743 | Tanesha Marchelle Owens | Registered Nurse | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-07-21 |
| 1437774692 | April Wyatt | Social Worker | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-06-13 |
| 1982223699 | Gordrell Enterprises LLC | Counselor | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-13 |
| 1992324867 | Gordrell Enterprises LLC | Community/Behavioral Health | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-10 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891332946 | Kav Health Group LLC | Substance Abuse Rehabilitation Facility | 6161 Busch Blvd Ste 190, Columbus, OH 43229-2510 | 2019-12-09 |
| 1073041869 | A New Beginning Counseling, LLC | Substance Abuse Rehabilitation Facility | 700 Bryden Rd Ste 135, Columbus, OH 43215-4839 | 2017-05-24 |
| 1144763012 | Dca Enterprise | Substance Abuse Rehabilitation Facility | 2700 East Dublin Granville Road, Suite 230, Columbus, OH 43231 | 2016-11-28 |
| 1386042471 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 770 Golding Road, Columbus, MS 39704-2590 | 2014-12-05 |
| 1124461538 | Christian Hands LLC | Substance Abuse Rehabilitation Facility | 924 Linwood Ave, Columbus, OH 43206-1621 | 2013-04-16 |
| 1639292568 | The Neighborhood House, Inc. | Substance Abuse Rehabilitation Facility | 1000 Atcheson St, Columbus, OH 43203-1353 | 2007-04-07 |
| 1326196700 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 860 Brookstone Centre Pkwy, Suite A, Columbus, GA 31904-3076 | 2007-01-08 |
| 1508927989 | House of Hope for Alcoholics, Inc. | Substance Abuse Rehabilitation Facility | 1320 Parsons Ave, Columbus, OH 43206-3642 | 2006-12-12 |
| 1912961996 | Diversified Community Services, Inc. | Substance Abuse Rehabilitation Facility | 1651 E Main St, Columbus, OH 43205-2118 | 2006-04-14 |
| 1932727419 | Odyssey Medical Associates LLC | Substance Abuse Rehabilitation Facility | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2020-07-10 |
| 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.