COLUMBUS MEDICAL SERVICES, LLC (NPI# 1104020452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104020452 |
| Entity Type | Organization |
| Organization Name | COLUMBUS MEDICAL SERVICES, LLC |
| Other Organization Name | THE COLUMBUS ORGANIZATION |
| Practice Address |
1004 Hickory Hill Lane Suite 2 Hermitage TN 37076 |
| Mailing Address |
500 East Swedesford Road Suite 100 Wayne PA 19087 |
| Practice Telephone | 6159020950 |
| Practice Fax Number | 6159020951 |
| Mailing Telephone | 6105920292 |
| Mailing Fax Number | 8883792524 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MS. KATHLEEN M. O'CONNOR (PRESIDENT) |
| Authorized Official Telephone | 6105920292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TN | Residential Treatment Facilities | |
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1512668 | 05 |
| Other Name | Type Code |
|---|---|
| The Columbus Organization | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710540976 | Columbus Medical Services, LLC | Case Management | 5085 Fairfield Ct, Aiken, SC 29801-1005 | 2019-04-15 |
| 1447723747 | Columbus Medical Services, LLC | Case Management | 235 W Roosevelt Ave Ste 455, Albany, GA 31701-2657 | 2019-01-09 |
| 1710406244 | Columbus Medical Services, LLC | Case Management | 100 Franklin Square Dr Ste 454, Somerset, NJ 08873-4109 | 2017-09-15 |
| 1659805141 | Columbus Medical Services, LLC | Case Management | 500 E Swedesford Rd, Suite 100, Wayne, PA 19087-1614 | 2017-04-12 |
| 1750820908 | Columbus Medical Services, LLC | Case Management | 5550 W Executive Dr Ste 230, Tampa, FL 33609-1046 | 2017-02-21 |
| 1477798601 | Columbus Medical Services, LLC | Case Management | 1453 Greene St Ste B, Augusta, GA 30901-1000 | 2008-12-02 |
| 1154880680 | Columbus Medical Services, LLC | Case Management | 100 S 5th St, Minneapolis, MN 55402-1210 | 2019-03-14 |
| 1528544467 | Columbus Medical Services, LLC | Case Management | 2150 S 1300 E Ste 500, Salt Lake City, UT 84106 | 2018-07-13 |
| 1801308887 | Columbus Medical Services, LLC | Case Management | 2333 Alexandria Dr, Lexington, KY 40504-3215 | 2017-10-30 |
| 1851811046 | Columbus Medical Services, LLC | Case Management | 2333 Alexandria Dr, Lexington, KY 40504-3215 | 2017-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COLUMBUS MEDICAL SERVICES, LLC | 500 E Swedesford Road, Suite 100, Wayne, PA 19087 |
| Iowa Business Entities | COLUMBUS MEDICAL SERVICES, LLC | 500 E Swedesford Road, Suite 100, Wayne, PA 19087 |
| Oklahoma Business Registrations | COLUMBUS MEDICAL SERVICES, LLC | C/o Phs Corporate Services, Inc., 1313 N Market St Ste 5100, Wilmington, DE 19801 |
| Colorado Business Entities | COLUMBUS MEDICAL SERVICES, LLC | 350 Sentry Pkwy Bldg 620 Ste 120, Blue Bell, PA 19422 |
| Connecticut Business Registrations | COLUMBUS MEDICAL SERVICES, LLC | 1012 West Ninth Ave, Suite 80, King of Prussia, PA 19406 |
| Indiana Business Entities | COLUMBUS MEDICAL SERVICES, LLC | 1012 West Ninth Ave., Suite 80, King of Prussia, PA 19406 |
| Street Address |
1004 HICKORY HILL LANE SUITE 2 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639643273 | Amira A Mohamad | Counselor | 1004 Hickory Hill Lane, Ste. #3, Hermitage, TN 37076 | 2019-01-16 |
| 1528479698 | Emily Rolling | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37076 | 2014-05-12 |
| 1871890103 | Mary Hudson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37076 | 2011-02-23 |
| 1760797286 | Rachel K. Shayne | Developmental Therapist | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37076 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093040347 | Rasoul Mokhtari | Developmental Therapist | 4636 Lebanon Pike # 167, Hermitage, TN 37076-1316 | 2009-10-05 |
| 1437309770 | Katherine Marie Welter | Developmental Therapist | 1004 Hickory Hill Ln Ste 4, Hermitage, TN 37076-1931 | 2008-09-23 |
| 1275839896 | Bridget J Faloon | Developmental Therapist | 1004 Hickory Hill Ln, Suite 4, Hermitage, TN 37076-1930 | 2011-01-28 |
| 1720397060 | Christopher Denhartigh | Developmental Therapist | 1004 Hickory Hill Ln, Suite 4, Hermitage, TN 37076-1930 | 2010-10-05 |
| 1760797286 | Rachel K. Shayne | Developmental Therapist | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37076 | 2010-08-09 |
| 1639407463 | George Mickey | Developmental Therapist | 1004 Hickory Hill Ln Ste 4, Hermitage, TN 37076-1931 | 2009-12-07 |
| 1346577236 | Tara L Whitlock | Developmental Therapist | 1004 Hickory Hill Ln, Suite 4, Hermitage, TN 37076-1930 | 2009-11-12 |
| 1881921740 | Tiffany Post | Developmental Therapist | 1004 Hickory Hill Ln Ste 4, Hermitage, TN 37076-1931 | 2009-11-12 |
| 1407183403 | Matthew Lavery | Developmental Therapist | 1004 Hickory Hill Ln, Suite 4, Hermitage, TN 37076-1930 | 2009-11-11 |
| 1477880888 | Patricia Stetler | Developmental Therapist | 1004 Hickory Hill Ln Ste 4, Hermitage, TN 37076-1931 | 2009-11-05 |
| Find all providers in HERMITAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.