Healthcare Provider Details

I. General information

NPI: 1932931045
Provider Name (Legal Business Name): NEW ALBANY CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5691 THOMPSON RD
COLUMBUS OH
43230-1345
US

IV. Provider business mailing address

5691 THOMPSON RD
COLUMBUS OH
43230-1345
US

V. Phone/Fax

Practice location:
  • Phone: 614-855-8866
  • Fax: 614-345-0527
Mailing address:
  • Phone: 614-855-8866
  • Fax: 614-855-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KACY GILLILAND
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-855-8866