1740770197 NPI number — SOCIAL ROW TRANSITIONAL CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740770197 NPI number — SOCIAL ROW TRANSITIONAL CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOCIAL ROW TRANSITIONAL CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740770197
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 S HIGH ST STE 770
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43215-3450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-461-1156
Provider Business Mailing Address Fax Number:
614-461-7168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 WEST SOCIAL ROW ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-886-8800
Provider Business Practice Location Address Fax Number:
937-886-8901
Provider Enumeration Date:
05/11/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WEBSTER
Authorized Official First Name:
GEOFFREY
Authorized Official Middle Name:
EVERETT
Authorized Official Title or Position:
COUNSEL
Authorized Official Telephone Number:
614-461-1156

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  PENDING , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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