Provider Demographics
NPI:1346683091
Name:NORTHEAST OHIO AGING SERVICES
Entity Type:Organization
Organization Name:NORTHEAST OHIO AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-228-9131
Mailing Address - Street 1:17 S HIGH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3413
Mailing Address - Country:US
Mailing Address - Phone:614-228-9131
Mailing Address - Fax:614-228-7702
Practice Address - Street 1:17 S HIGH ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3413
Practice Address - Country:US
Practice Address - Phone:614-228-9131
Practice Address - Fax:614-228-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility