MEDICARE: LANDINGS OF COLUMBUS 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	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1750170130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDINGS OF COLUMBUS LLC

Provider Business Mailing Address
First Line	:	2277 HIGHWAY 36 W STE 300
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3830
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6830 RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2337
Country	:	US
Telephone Number	:	706-653-9191
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABDULLAHI OMAR
Credential	:
Telephone Number	:	612-404-6892

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	05/02/2025

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Directions to “LANDINGS OF COLUMBUS LLC ” Practice Location

Language	Start Address	Practice Location

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