Provider Demographics
NPI:1457442279
Name:COLUMBUS SENIORS INC
Entity Type:Organization
Organization Name:COLUMBUS SENIORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:REISING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-836-2904
Mailing Address - Street 1:52 WESTERVILLE SQ
Mailing Address - Street 2:#143
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2919
Mailing Address - Country:US
Mailing Address - Phone:614-890-4983
Mailing Address - Fax:614-890-4355
Practice Address - Street 1:575 COPELAND MILL RD
Practice Address - Street 2:SUITE 1F
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8977
Practice Address - Country:US
Practice Address - Phone:614-890-4983
Practice Address - Fax:614-890-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTAX IDENTIFICATION NUMBER