MEDICARE: RYZING STARR YOUTH INITIATIVE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1225987316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYZING STARR YOUTH INITIATIVE, LLC

Provider Business Mailing Address
First Line	:	1802 QUARRY RIDGE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-1625
Country	:	US
Telephone Number	:	614-581-9323
Fax Number	:	614-581-9323

Provider Business Practice Location Address
First Line	:	1802 QUARRY RIDGE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-1625
Country	:	US
Telephone Number	:	614-581-9323
Fax Number	:	614-581-9323

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS ATHA LEEANN SANDERS
Credential	:	MS, BSCJ
Telephone Number	:	614-383-8095

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

Similar Medicare Providers

1861351322 — TESFAI KIFLE
Practice Location Address:

918 LOCKBOURNE RD
COLUMBUS, OH
43206-1625

Practice Phone: 614-604-4260
Practice Fax:

1801755210 — T&S YOUTH PROJECT
Practice Location Address:

918 LOCKBOURNE RD
COLUMBUS, OH
43206-1625

Practice Phone: 614-604-4260
Practice Fax:

1093923971 — EMILY SIMPSON OTRL
Practice Location Address:

1625 BETHEL RD , SUITE 101
COLUMBUS, OH
43220-2071

Practice Phone: 614-313-7808
Practice Fax:

1871899070 — RHONDA WILLIAMS LPN
Practice Location Address:

938 LOCKBOURNE RD
COLUMBUS, OH
43206-1625

Practice Phone: 614-357-5433
Practice Fax:

1639446792 — FAITHFUL HANDS SERVICES
Practice Location Address:

1625 SANDALWOOD PL
COLUMBUS, OH
43229-3639

Practice Phone: 615-678-3993
Practice Fax:

1598039513 — J. ERIC GENTILE MS, LPCC
Practice Location Address:

1625 BETHEL RD STE 201
COLUMBUS, OH
43220-2071

Practice Phone: 614-940-9834
Practice Fax:

Directions to “RYZING STARR YOUTH INITIATIVE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.