Provider Demographics
NPI:1235017997
Name:1 LOVING PLACE
Entity type:Organization
Organization Name:1 LOVING PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-589-6951
Mailing Address - Street 1:4144 PORTOBELLO DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5439
Mailing Address - Country:US
Mailing Address - Phone:614-589-6951
Mailing Address - Fax:
Practice Address - Street 1:4218 RICKENBACKER AVE APT 34
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2815
Practice Address - Country:US
Practice Address - Phone:614-817-4437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health