Canterbury Villa

LBN: Central Ohio Group Homes, Inc.
Canterbury Villa is an health care organization with primary practice located at 80 Miller St , Centerburg OH 43011-9741. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Central Ohio Group Homes, Inc. can be contacted via phone (740) 625-6873, or through Colleran, Brian via phone (440) 614-0160.

Contact Information

Primary practice address
80 Miller St Centerburg OH 43011-9741
Phone: (740) 625-6873
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colleran, Brian
Phone: (440) 614-0160

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 4210642 Ohio

Profile Details

NPI number 1639172463
LBN Legal business name Central Ohio Group Homes, Inc.
DBA Doing business as Canterbury Villa
Authorized official Colleran, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jun 16th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639172463 NPPES
Ohio MEDICAID 2417530

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