Healthcare Provider Details

I. General information

NPI: 1962321828
Provider Name (Legal Business Name): OHIO LIVING POWELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10272 SAWMILL PKWY
POWELL OH
43065-9189
US

IV. Provider business mailing address

9200 WORTHINGTON RD STE 300
WESTERVILLE OH
43082-7240
US

V. Phone/Fax

Practice location:
  • Phone: 614-356-9810
  • Fax:
Mailing address:
  • Phone: 614-888-7800
  • Fax: 614-888-6864

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: LAURENCE CHARLES GUMINA
Title or Position: CEO
Credential:
Phone: 614-888-7800