Healthcare Provider Details

I. General information

NPI: 1225882418
Provider Name (Legal Business Name): TRANSITIONAL SUPPORT AND THERAPY CENTER BY KELKARES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 E LIVINGSTON AVE
COLUMBUS OH
43205-2926
US

IV. Provider business mailing address

PO BOX 6051
COLUMBUS OH
43206-0051
US

V. Phone/Fax

Practice location:
  • Phone: 614-747-7777
  • Fax:
Mailing address:
  • Phone: 614-747-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLY S JONES
Title or Position: FOUNDER
Credential: PEER SUPPORT
Phone: 614-747-7777