Provider Demographics
NPI:1659882256
Name:HEINZERLING FOUNDATION
Entity Type:Organization
Organization Name:HEINZERLING FOUNDATION
Other - Org Name:HEINZERLING 1605
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-272-8888
Mailing Address - Street 1:1800 HEINZERLING DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-3642
Mailing Address - Country:US
Mailing Address - Phone:614-272-8888
Mailing Address - Fax:
Practice Address - Street 1:1605 HEINZERLING DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223
Practice Address - Country:US
Practice Address - Phone:614-272-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities