WILLGLO SERVICES, INC (NPI# 1205382751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205382751 |
| Entity Type | Organization |
| Organization Name | WILLGLO SERVICES, INC |
| Practice Address |
995 Thurman Ave Columbus OH 43206-3133 |
| Mailing Address |
Po Box 77469 Columbus OH 43207-7469 |
| Practice Telephone | 6144433020 |
| Practice Fax Number | 6144432920 |
| Mailing Telephone | 6144433020 |
| Mailing Fax Number | 6144432920 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. WILLIAM JAMES BURGE (ADMINISTRATOR) |
| Authorized Official Telephone | 6144433020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2507433 | 05 |
| Street Address |
995 THURMAN AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43206-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992125421 | Burge Services | Respite Care | 995 Thurman Ave, Columbus, OH 43206-3133 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174011464 | Satyawati Potaraju Dds LLC | Dentist | 1151 S High Street, Columbus, OH 43206 | 2018-04-23 |
| 1487162806 | Inner Health Chiropractic, Inc | Chiropractor | 1201 South High Street, Inner Health Chiropractic, Columbus, OH 43206 | 2018-01-19 |
| 1285157578 | Carlisha Monique Lane | In Home Supportive Care | 1069 Berkeley Road, Columbus, OH 43206 | 2017-07-19 |
| 1386049187 | Talisa Clegg | Community Health Worker | 712 Frebis Avenue, Columbus, OH 43206 | 2014-10-23 |
| 1013138692 | Tonika Isedreika Martin | Licensed Practical Nurse | 750 Hanford St., Columbus, OH 43206 | 2007-05-01 |
| 1679693105 | Vinh Truyen Quoc Nguyen | Internal Medicine | 1071 City Park Avenue, Columbus, OH 43206 | 2007-03-29 |
| 1013042563 | Merion Alice Brown | Home Health Aide | 984 Miller Avenue, Columbus, OH 43206 | 2007-02-23 |
| 1174541502 | Paige Ann Priest | Licensed Practical Nurse | 74 Frebis Ave, Columbus, OH 43206 | 2006-07-17 |
| 1548238017 | Roy A. Gill | Family Medicine | 1405 South High St., Columbus, OH 43206 | 2006-03-10 |
| 1699260125 | Ryan William Hansen | Psychologist | 946 Parsons Ave, Columbus, OH 43206 | 2018-06-27 |
| Find all providers in zip 43206 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680418 | Catapillars To Butterflies, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5900 Sharon Woods Blvd Ste D, Columbus, OH 43229-2600 | 2020-08-21 |
| 1720559420 | Secure Haven Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4295 Braunton Rd, Columbus, OH 43220-4301 | 2018-12-06 |
| 1851882617 | Cg-hhc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Civic Center Dr Ste 1200, Columbus, OH 43215-4234 | 2018-05-28 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1902286693 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1182 Hedding Rd, Columbus, NJ 08022 | 2015-06-08 |
| 1356658918 | Jireh Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3509 Refugee Rd, Columbus, OH 43232-4830 | 2010-09-02 |
| 1902077258 | Viaquest Healthcare Central | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5314 Redwood Rd, Columbus, OH 43229-4441 | 2008-03-14 |
| 1750576807 | Mental Retardation Waiver Program Muscogee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2007-09-12 |
| 1851507180 | Heinzerling Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1755 Heinzerling Dr, Columbus, OH 43223-3672 | 2007-05-15 |
| Find all providers in COLUMBUS | ||||
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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.