Provider Demographics
NPI:1073780771
Name:THE COMMONS AT GRANT LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:THE COMMONS AT GRANT LIMITED PARTNERSHIP
Other - Org Name:THE COMMONS AT GRANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP /CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:NADERHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:614-273-3589
Mailing Address - Street 1:398 S GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:398 S GRANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5549
Practice Address - Country:US
Practice Address - Phone:614-224-2988
Practice Address - Fax:614-716-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management