Healthcare Provider Details

I. General information

NPI: 1073780771
Provider Name (Legal Business Name): THE COMMONS AT GRANT LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 S GRANT AVE
COLUMBUS OH
43215-5549
US

IV. Provider business mailing address

398 S GRANT AVE
COLUMBUS OH
43215-5549
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-2988
  • Fax: 614-716-0901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDITH L NADERHOFF
Title or Position: VP /CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 614-273-3589