MARYHAVEN (NPI# 1285119180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285119180 |
| Entity Type | Organization |
| Organization Name | MARYHAVEN |
| Practice Address |
100 Noe Bixby Rd Columbus OH 43213-1460 |
| Practice Telephone | 6147024503 |
| Mailing Telephone | 6147024503 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | MS. SHNIESE G HORTON (PCA) |
| Authorized Official Telephone | 6148922454 |
| Authorized Official Credential | CDCA/ ON HOLD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083165633 | Maryhaven | Substance Abuse Rehabilitation Facility | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2016-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARYHAVEN | 1791 Alum Creek Dr, Columbus, OH 43207-1708 |
| Street Address |
100 NOE BIXBY RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114632 | Shauna Adams | Social Worker | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2011-12-01 |
| 1235748542 | Emily Elizabeth Tamburro | Counselor | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2020-07-23 |
| 1083196000 | Krista Miller | Counselor | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2018-09-06 |
| 1558847665 | Catherine Elaine Hall | Case Manager/Care Coordinator | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2018-07-12 |
| 1417473232 | Asia Marie Fortner | Counselor | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2017-08-15 |
| 1497270037 | Essence Johnson | Counselor | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2017-08-04 |
| 1235653932 | Delores Hayden-littleton | Counselor | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2017-08-03 |
| 1013431857 | Rosemary Helen West | Social Worker | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2017-08-02 |
| 1043732191 | Julia Dondi Gilliam | Social Worker | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2017-07-11 |
| 1184179319 | Nancy Lockwood | Social Worker | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2016-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1770066029 | New Beginnings PCh of Columbus, LLC | Community Based Residential Treatment Facility, Mental Illness | 639 Lawyers Ln, Columbus, GA 31906-3812 | 2018-09-12 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1750840773 | Nationwide Residential Services | Community Based Residential Treatment Facility, Mental Illness | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2019-03-19 |
| 1225580608 | Kamilah Muse | Community Based Residential Treatment Facility, Mental Illness | 765 Pierce Dr, Columbus, OH 43223-2425 | 2016-11-01 |
| 1346627460 | Kenneth B Walker Residential Home Inc | Community Based Residential Treatment Facility, Mental Illness | 3575 Macon Rd, Suite 25, Columbus, GA 31907-8200 | 2015-04-27 |
| 1972992816 | Alexia D. Faggins | Community Based Residential Treatment Facility, Mental Illness | 2100 Comer Ave, Columbus, GA 31904-8725 | 2015-01-15 |
| 1104214048 | The Village Network | Community Based Residential Treatment Facility, Mental Illness | 1751 E Long St, Columbus, OH 43203-2045 | 2014-12-30 |
| 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.