Baltic Avenue Enterprises, Llc in Lisbon - Skilled Nursing Facility
Baltic Avenue Enterprises, Llc - NPI 1134116130
Baltic Avenue Enterprises, Llc is a Skilled Nursing Facility in Lisbon, Ohio. Baltic Avenue Enterprises, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Baltic Avenue Enterprises, Llc is 1134116130. The last update date is 2020-08-22.
Baltic Avenue Enterprises, Llc's current location address is 7451 Pleasant View Dr, Lisbon, Ohio. You can contact this provider via phone number 3304243721 and fax number 3304247426. The mailing address for Baltic Avenue Enterprises, Llc is 7451 Pleasant View Dr, Lisbon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Baltic Avenue Enterprises, Llc |
|---|---|
| Address | 7451 Pleasant View Dr, Lisbon, Ohio |
| Phone Number | 3304243721 |
| Fax Number | 3304247426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ADMI |
|---|---|
| Authorized Official Name | Chesney A Timothy |
| Telephone Number | 3304243721 |
NPI Number Detail
| NPI Number | 1134116130 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7451 Pleasant View Dr |
|---|---|
| City | Lisbon |
| State | Ohio (OH) |
| Post Code | 444329462 |
| Phone Number | 3304243721 |
| Fax Number | 3304247426 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 5631 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2124525 | OH | -- |
Post Comment/ Review Below
What is the Baltic Avenue Enterprises, Llc's 1134116130?
The Baltic Avenue Enterprises, Llc's NPI (National Provider Identifier) Number is 1134116130. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Baltic Avenue Enterprises, Llc's facilities are situated?
The facilities of Baltic Avenue Enterprises, Llc are physically located at the following address: 7451 Pleasant View Dr, Lisbon, OH, 444329462.
What is the Baltic Avenue Enterprises, Llc's specialty and taxonomy code?
The Baltic Avenue Enterprises, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When was the Baltic Avenue Enterprises, Llc's 1134116130 issued?
The Baltic Avenue Enterprises, Llc's 1134116130 was issued on 2005-10-04.
When was the Baltic Avenue Enterprises, Llc's information last updated?
The Baltic Avenue Enterprises, Llc's information was last updated on 2020-08-22.