Provider Demographics
NPI:1487187225
Name:PYRAMID HOUSING, LLC
Entity Type:Organization
Organization Name:PYRAMID HOUSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VICETA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING-RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-584-1625
Mailing Address - Street 1:8282 DANBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7119
Mailing Address - Country:US
Mailing Address - Phone:614-584-1625
Mailing Address - Fax:
Practice Address - Street 1:8282 DANBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7119
Practice Address - Country:US
Practice Address - Phone:614-584-1625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-08
Last Update Date:2017-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency