Wayside Farm Inc. in Peninsula - Nursing Facility/intermediate Care Facility
Wayside Farm Inc. - NPI 1306870738
Wayside Farm Inc. is a Nursing Facility/intermediate Care Facility in Peninsula, Ohio. Wayside Farm Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Wayside Farm Inc. is 1306870738. The last update date is 2020-08-22.
Wayside Farm Inc.'s current location address is 4557 Quick Rd, Peninsula, Ohio. You can contact this provider via phone number 3309237828 and fax number 3309231201. The mailing address for Wayside Farm Inc. is 4557 Quick Rd, Peninsula, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wayside Farm Inc. |
|---|---|
| Address | 4557 Quick Rd, Peninsula, Ohio |
| Phone Number | 3309237828 |
| Fax Number | 3309231201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Pool W. Matthew |
| Credentials | LNHA |
| Telephone Number | 3309237828 |
NPI Number Detail
| NPI Number | 1306870738 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4557 Quick Rd |
|---|---|
| City | Peninsula |
| State | Ohio (OH) |
| Post Code | 442649794 |
| Phone Number | 3309237828 |
| Fax Number | 3309231201 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 1279 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40879 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wayside Farm Inc. by the Centers for Medicare & Medicaid Services?
The Wayside Farm Inc. has been assigned the NPI (National Provider Identifier) 1306870738 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Wayside Farm Inc.'s facilities are geographically located?
The facilities of Wayside Farm Inc. are physically situated at the following location: 4557 Quick Rd, Peninsula, OH, 442649794.
What is Wayside Farm Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wayside Farm Inc. is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
When was the Wayside Farm Inc.'s 1306870738 issued?
The Wayside Farm Inc.'s 1306870738 was issued on 2006-07-10.
As of what date were the Wayside Farm Inc.'s details last updated?
The information pertaining to the Wayside Farm Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.