Provider Demographics
NPI:1326135559
Name:CAPITAL SENIOR LIVING PROPERTIES INC.
Entity Type:Organization
Organization Name:CAPITAL SENIOR LIVING PROPERTIES INC.
Other - Org Name:CSL COLUMBUS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-755-7591
Mailing Address - Street 1:5380 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1391
Mailing Address - Country:US
Mailing Address - Phone:614-755-7591
Mailing Address - Fax:614-755-7595
Practice Address - Street 1:5380 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1391
Practice Address - Country:US
Practice Address - Phone:614-755-7591
Practice Address - Fax:614-755-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6003310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility