Foundation Of Love For Youth, Llc (Fly House)

LBN: Foundation Of Love For Youth, Llc (Fly House)
Foundation Of Love For Youth, Llc (Fly House) is an health care organization with primary practice located at 850 Oak St , Columbus OH 43205-1113. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Lodging, Agencies / Case Management, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Case Management is the primary health care specialty. Foundation Of Love For Youth, Llc (Fly House) can be contacted via phone (614) 429-3843, or through Martin, Tyra Nicole via phone (614) 598-9891.

Contact Information

Primary practice address
850 Oak St Columbus OH 43205-1113
Phone: (614) 429-3843
Fax: (614) 675-7537
Website:
Map and Directions
Authorized official contact:
Name: Martin, Tyra Nicole LMSW, CDCA, CPLC
Phone: (614) 598-9891

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1669139572
LBN Legal business name Foundation Of Love For Youth, Llc (Fly House)
DBA Doing business as
Authorized official Martin, Tyra Nicole LMSW, CDCA, CPLC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2021
Last updated Nov 27th, 2021 - about 4 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 1669139572 NPPES
Ohio MEDICAID 1881064004

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