PEREGRINE HEALTH SERVICES OF COLUMBUS LLC - NPI 1508322546 - Assisted Living Facility in Columbus, OH

Q: What is Peregrine Health Services Of Columbus LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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About Peregrine Health Services Of Columbus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEREGRINE HEALTH SERVICES OF COLUMBUS LLC (NPI 1508322546), doing business as Summit's Trace Healthcare Center, is a healthcare organization registered as an assisted living facility in Columbus, Ohio and active in the NPI registry since February 2019. The organization lists Timothy Dale Patton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508322546

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePEREGRINE HEALTH SERVICES OF COLUMBUS LLC

Location Address935 N CASSADY AVEColumbus, OH 43219-2283

Mailing Address1661 Old Henderson RdColumbus, OH 43220-3644 · (614) 459-2656

Phone(614) 252-4987

Organization SubpartNo

Authorized OfficialTimothy Dale PattonCfo · (614) 459-2656

Enumeration DateFebruary 14, 2019

✔ NPI 1508322546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

935 N CASSADY AVE, Columbus, OH 43219

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Other Names 1

Doing Business AsSummit's Trace Healthcare Center

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK ALEXANDER VAN HORN PT, DPT

Physical Therapist