Otterbein Perrysburg Llc in Lebanon - Skilled Nursing Facility
Otterbein Perrysburg Llc - NPI 1003939786
Otterbein Perrysburg Llc is a Skilled Nursing Facility in Lebanon, Ohio. Otterbein Perrysburg Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Otterbein Perrysburg Llc is 1003939786. The last update date is 2015-02-09.
Otterbein Perrysburg Llc's current location address is 580 N State Route 741, Lebanon, Ohio. You can contact this provider via phone number 5139325401 and fax number 5139321054. The mailing address for Otterbein Perrysburg Llc is 580 N State Route 741, Lebanon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Otterbein Perrysburg Llc |
|---|---|
| Address | 580 N State Route 741, Lebanon, Ohio |
| Phone Number | 5139325401 |
| Fax Number | 5139321054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Green Chris James |
| Credentials | CPA |
| Telephone Number | 5139335418 |
NPI Number Detail
| NPI Number | 1003939786 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2015-02-09 |
Provider Mailing Address Detail
| Address | 580 N State Route 741 |
|---|---|
| City | Lebanon |
| State | Ohio (OH) |
| Post Code | 450368839 |
| Phone Number | 5139325401 |
| Fax Number | 5139321054 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2480N |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2768107 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Otterbein Perrysburg Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Otterbein Perrysburg Llc has been assigned the NPI (National Provider Identifier) 1003939786. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Otterbein Perrysburg Llc is physically located?
The Otterbein Perrysburg Llc is physically situated at the following address: 580 N State Route 741, Lebanon, OH, 450368839.
What is Otterbein Perrysburg Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Otterbein Perrysburg Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did the Otterbein Perrysburg Llc receive its 1003939786 assignment from the Centers for Medicare & Medicaid Services?
The Otterbein Perrysburg Llc was assigned its 1003939786 by the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date were the details related to Otterbein Perrysburg Llc most recently updated or revised?
The information pertaining to Otterbein Perrysburg Llc, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-09.
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