Healthcare Provider Details

I. General information

NPI: 1245376367
Provider Name (Legal Business Name): UNITED METHODIST CHILDREN'S HOME OF THE WEST OHIO CONFERENCE OF THE UN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 E BROAD ST
COLUMBUS OH
43215-4004
US

IV. Provider business mailing address

1033 HIGH ST
WORTHINGTON OH
43085-4026
US

V. Phone/Fax

Practice location:
  • Phone: 614-885-5020
  • Fax: 614-885-4058
Mailing address:
  • Phone: 614-885-5020
  • Fax: 614-885-4058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JENNIFER PAINTER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 614-947-1674