Summit'S Trace Healthcare Center
LBN: Peregrine Health Services Of Columbus Llc
Summit'S Trace Healthcare Center is an health care organization with primary practice located at 935 N Cassady Ave , Columbus OH 43219-2283. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Peregrine Health Services Of Columbus Llc can be contacted via phone (614) 252-4987, or through Patton, Timothy via phone (614) 459-2482.
Contact Information
Primary practice address
935 N Cassady Ave
Columbus OH 43219-2283
Phone: (614) 252-4987
Fax: (614) 252-5952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1061N | Ohio |
Profile Details
| NPI number | 1588803985 |
|---|---|
| LBN Legal business name | Peregrine Health Services Of Columbus Llc |
| DBA Doing business as | Summit'S Trace Healthcare Center |
| Authorized official | Patton, Timothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2009 |
| Last updated | Jan 24th, 2019 - about 6 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 | 1588803985 | NPPES |
| Ohio | MEDICAID | 2920530 | |
| Ohio | MEDICAID | 2912978 |
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