215 HUBER VILLAGE BOULEVARD OPCO LLC — NPI 1205794237 (Licensed & Credentialed Assisted Living Facility in WESTERVILLE, OH)

CMS-1500 Box 24J / 33a • NPI

1205794237

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

310400000X

Licensed & Credentialed Assisted Living Facility

Box 32 Service Location & ZIP+4

215 HUBER VILLAGE BLVD, WESTERVILLE, OH, 43081-3378

✓ 9-Digit EDI 837 ZIP+4 (43081-3378)

Practice Phone & Referral Fax

(614) 882-3782

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205794237 (215 HUBER VILLAGE BOULEVARD OPCO LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205794237` (NPI-2 Organization / Facility)
Provider / Legal Name	215 HUBER VILLAGE BOULEVARD OPCO LLC
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility NUCC Code: `310400000X` (Assisted Living Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	215 HUBER VILLAGE BLVD, WESTERVILLE, OH, 43081-3378
Practice Telephone / Fax	Tel: (614) 882-3782
Administrative Mailing Address	200 E COURT ST STE 400, KANKAKEE, IL, 60901-3848
Enumeration & Last Sync	Enumerated: 2026-01-09 \| CMS Record Updated: 2026-01-15
Authorized Official	BRIDGETT FITZGERALD (Fin Proj & Business Ins Coordinator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

215 HUBER VILLAGE BLVD, WESTERVILLE, OH, 43081-3378

🗺️ Open in Google Maps 🏥 More Providers in WESTERVILLE

🔒 Are you 215 HUBER VILLAGE BOULEVARD OPCO LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (310400000X)

What Does Taxonomy Code 310400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (215 HUBER VILLAGE BOULEVARD OPCO LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

215 HUBER VILLAGE BOULEVARD OPCO LLC (NPI #1205794237)