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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669139572 | NPPES |
| Ohio | MEDICAID | 1881064004 |
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