Provider Demographics
NPI:1871968644
Name:RIPPLE LIFE CARE PLANNING
Entity type:Organization
Organization Name:RIPPLE LIFE CARE PLANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MSN/ED, CCM
Authorized Official - Phone:614-707-9273
Mailing Address - Street 1:565 METRO PL S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5351
Mailing Address - Country:US
Mailing Address - Phone:614-707-9273
Mailing Address - Fax:614-467-3500
Practice Address - Street 1:565 METRO PL S
Practice Address - Street 2:SUITE 300
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5351
Practice Address - Country:US
Practice Address - Phone:614-707-9273
Practice Address - Fax:614-467-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN268231251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management