OrganizationActive
The Village Network
NPI 1104214048 · Mental Illness Community Based Residential Treatment Facility · Columbus, OH
Provider details
- NPI number
- 1104214048
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Malisa Peters, Clinical Case Manager(614) 253-8050
- License
- S.1450587 (OH)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense S.1450587 (OH)
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1751 E Long St
Columbus, OH 43203-2045
Phone: (614) 253-8050
Street-level locationGet directions
Mailing address
1751 E Long St
Columbus, OH 43203-2045
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.