Provider Demographics
NPI:1710573217
Name:A SILVER LINING
Entity Type:Organization
Organization Name:A SILVER LINING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-949-4945
Mailing Address - Street 1:PO BOX 30890
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-0890
Mailing Address - Country:US
Mailing Address - Phone:614-949-4945
Mailing Address - Fax:
Practice Address - Street 1:5555 HAVENS CORNERS RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3134
Practice Address - Country:US
Practice Address - Phone:614-949-4945
Practice Address - Fax:614-944-9059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty