Provider Demographics
NPI:1114337078
Name:ALPINE HOUSE OF COLUMBUS, INC
Entity Type:Organization
Organization Name:ALPINE HOUSE OF COLUMBUS, INC
Other - Org Name:ALPINE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:419-472-5350
Mailing Address - Street 1:1001 SCHROCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1157
Mailing Address - Country:US
Mailing Address - Phone:614-505-3531
Mailing Address - Fax:614-505-3534
Practice Address - Street 1:1001 SCHROCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1157
Practice Address - Country:US
Practice Address - Phone:614-505-3531
Practice Address - Fax:614-505-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility