204 W. Main Street Operating Company, Llc in New London - Skilled Nursing Facility
204 W. Main Street Operating Company, Llc - NPI 1457463556
204 W. Main Street Operating Company, Llc is a Skilled Nursing Facility in New London, Ohio. 204 W. Main Street Operating Company, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 204 W. Main Street Operating Company, Llc is 1457463556. The last update date is 2020-08-22.
204 W. Main Street Operating Company, Llc's current location address is 204 W Main St, New London, Ohio. You can contact this provider via phone number 4199291563. The mailing address for 204 W. Main Street Operating Company, Llc is 204 W Main St, New London, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 204 W. Main Street Operating Company, Llc |
|---|---|
| Address | 204 W Main St, New London, Ohio |
| Phone Number | 4199291563 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Breslin P Kevin |
| Telephone Number | 2012424000 |
NPI Number Detail
| NPI Number | 1457463556 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 204 W Main St |
|---|---|
| City | New London |
| State | Ohio (OH) |
| Post Code | 448511070 |
| Phone Number | 4199291563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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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What is the 204 W. Main Street Operating Company, Llc's unique identification number?
The 204 W. Main Street Operating Company, Llc has been assigned the NPI (National Provider Identifier) Number 1457463556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where 204 W. Main Street Operating Company, Llc's facilities are situated?
The facilities of 204 W. Main Street Operating Company, Llc are physically located at the following address: 204 W Main St, New London, OH, 448511070.
What is the 204 W. Main Street Operating Company, Llc's specialty and taxonomy code?
The 204 W. Main Street Operating Company, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the 204 W. Main Street Operating Company, Llc receive its 1457463556 assignment from the Centers for Medicare & Medicaid Services?
The 204 W. Main Street Operating Company, Llc was assigned its 1457463556 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the 204 W. Main Street Operating Company, Llc's details last updated?
The information pertaining to the 204 W. Main Street Operating Company, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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