Provider Demographics
NPI: | 1013723758 |
---|---|
Name: | ONE STOP HEALTH CONNECTIONS |
Entity type: | Organization |
Organization Name: | ONE STOP HEALTH CONNECTIONS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER / REGISTER NURSE |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | CHEVON |
Authorized Official - Middle Name: | NICOLE |
Authorized Official - Last Name: | HAYNES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN BSN |
Authorized Official - Phone: | 614-374-7289 |
Mailing Address - Street 1: | 200 N. HIGH STREET PO BOX 243 |
Mailing Address - Street 2: | |
Mailing Address - City: | CANAL WINCHESTER |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43110 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-374-7289 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6100 CHANNINGWAY BLVD |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBUS |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43232-2910 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-374-7289 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-12-07 |
Last Update Date: | 2024-12-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | ||
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management | ||
No | 251F00000X | Agencies | Home Infusion | ||
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 251J00000X | Agencies | Nursing Care | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | ||
No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone | |
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | ||
No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |