Basic Information
| Provider Information | |||||||||
| NPI: | 1740770197 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SOCIAL ROW TRANSITIONAL CARE, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | SOCIAL ROW TRANSITIONAL CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17 S HIGH ST STE 770 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432153450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144611156 | ||||||||
| FaxNumber: | 6144617168 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 WEST SOCIAL ROW ROAD | ||||||||
| Address2: | |||||||||
| City: | CENTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9378868800 | ||||||||
| FaxNumber: | 9378868901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2018 | ||||||||
| LastUpdateDate: | 06/11/2019 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | WEBSTER | ||||||||
| AuthorizedOfficialFirstName: | GEOFFREY | ||||||||
| AuthorizedOfficialMiddleName: | EVERETT | ||||||||
| AuthorizedOfficialTitleorPosition: | COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 6144611156 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | ESQ, | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | PENDING | OH | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.