PERIDOT CARE SERVICES, LLC (NPI# 1902159494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902159494 |
| Entity Type | Organization |
| Organization Name | PERIDOT CARE SERVICES, LLC |
| Practice Address |
270 E Kelso Rd Columbus OH 43202-2306 |
| Practice Telephone | 6142682219 |
| Practice Fax Number | 6142680644 |
| Mailing Telephone | 6142682219 |
| Mailing Fax Number | 6142680644 |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | TRACY OCONNOR (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 6142682219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 28536 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0063506 | 05 |
| Street Address |
270 E KELSO RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244507 | Joyce Perry | Foster Care Agency | 2917 Dover Rd, Columbus, OH 43209-3023 | 2020-10-27 |
| 1184119943 | Debbie Elizabeth Costello | Foster Care Agency | 5655 North High St., Columbus, OH 43085 | 2018-06-25 |
| 1861789059 | Certify Agency Resources Enforcement | Foster Care Agency | 2600 Hingham Ln, Columbus, OH 43224-3725 | 2011-07-07 |
| 1255664876 | The Morris Foundation, Inc. | Foster Care Agency | 3519 Seabrook Ave, Columbus, OH 43227-3245 | 2009-09-14 |
| 1184872079 | Youth Advocate Services | Foster Care Agency | 965 E Broad St, Columbus, OH 43205-1139 | 2008-09-04 |
| 1154835205 | Christine A Chapman | Foster Care Agency | 527 S High St, Columbus, OH 43215-5602 | 2017-11-28 |
| 1053856682 | Sierra Community Services | Foster Care Agency | 6665 Maple Canyon Ave, Columbus, OH 43229-2224 | 2017-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608991 | Argonne Homes LLC | Foster Care Agency | 3852 Argonne St, Mogadore, OH 44260-1402 | 2020-10-29 |
| 1093315962 | Kimberly Michele Buchanan | Foster Care Agency | 1510 Summer Wood Ln, Uniontown, OH 44685-7797 | 2020-10-29 |
| 1578188512 | Elisha Beth Hicks | Foster Care Agency | 1090 Springbrook Ln, Piqua, OH 45356-9241 | 2020-06-16 |
| 1366969347 | Patricia Reyes | Foster Care Agency | 735 S Haley St, Mc Clure, OH 43534-7712 | 2017-08-29 |
| 1144761867 | Steps 2 Better Living Inc. | Foster Care Agency | 961 Oakland Ave, Cincinnati, OH 45205-1709 | 2017-03-14 |
| 1932573540 | Next To Kin Supportive Services LLC | Foster Care Agency | 1049 Diagonal Rd, Akron, OH 44320-3751 | 2015-11-19 |
| 1932572740 | Family Based Services Inc | Foster Care Agency | 200 S Jackson St, New Lexington, OH 43764-1366 | 2015-11-03 |
| 1881060556 | Stephanie Marie Brass | Foster Care Agency | 12225 Huffman Rd Apt 218, Parma Heights, OH 44130-2258 | 2015-08-18 |
| 1407276447 | True Hearts of Care LLC | Foster Care Agency | 1501 South Main Street, Suite 1503, Akron, OH 44301 | 2014-04-17 |
| 1841618147 | Whitney Mclain | Foster Care Agency | 528 Taylor St, Zanesville, OH 43701-1915 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
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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.