Club For The Ages Llc

LBN: Club For The Ages Llc
Club For The Ages Llc is an health care organization with primary practice located at 1196 W Broad St , Columbus OH 43222-1319. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Home Health Aide. Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Club For The Ages Llc can be contacted via phone (614) 276-0408, or through Mulligan, Edward C via phone (614) 570-9795.

Contact Information

Primary practice address
1196 W Broad St Columbus OH 43222-1319
Phone: (614) 276-0408
Fax: (614) 276-0644
Website:
Map and Directions
Authorized official contact:
Name: Mulligan, Edward C
Phone: (614) 570-9795

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Ohio
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1679614671
LBN Legal business name Club For The Ages Llc
DBA Doing business as
Authorized official Mulligan, Edward C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2007
Last updated Jul 8th, 2008 - about 16 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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