DEACONESS LONG TERM CARE OF OHIO, INC. (NPI# 1043203722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043203722 |
| Entity Type | Organization |
| Organization Name | DEACONESS LONG TERM CARE OF OHIO, INC. |
| Other Organization Name | CONVOY CARE CENTER |
| Practice Address |
127 Mentzer Dr Convoy OH 45832 |
| Mailing Address |
440 Lafayette Ave Ste 400 Cincinnati OH 45220-1022 |
| Practice Telephone | 4197492194 |
| Practice Fax Number | 4197492424 |
| Mailing Telephone | 5134873600 |
| Mailing Fax Number | 5134873653 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARLA BROOKS (CFO) |
| Authorized Official Telephone | 5134873600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1767N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0214771 | 05 |
| Other Name | Type Code |
|---|---|
| Convoy Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557369 | Deaconess Long Term Care of Ohio, Inc. | Assisted Living Facility | 1000 Nw Third St, Ava, MO 65608 | 2005-09-07 |
| 1588658900 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 631 W Main St, Buffalo, MO 65622-7496 | 2005-08-31 |
| 1598758971 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 440 Lafayette Ave, Cincinnati, OH 45220-1022 | 2005-08-31 |
| 1669466082 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 800 S White Oak Rd, Marshfield, MO 65706-2231 | 2005-08-31 |
| 1003800483 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 1300 County Farm Rd, Cassville, MO 65625-1726 | 2005-08-31 |
| 1801889621 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 820 E Center St, Blanchester, OH 45107-1310 | 2005-08-26 |
| 1639162316 | Deaconess Long Term Care of Ohio, Inc. | Assisted Living Facility | 5640 Cox Smith Rd, Mason, OH 45040-2210 | 2005-08-26 |
| 1235123969 | Deaconess Long Term Care of Ohio, Inc. | Assisted Living Facility | 800 S White Oak Rd, Marshfield, MO 65706-2231 | 2005-09-08 |
| Street Address |
127 MENTZER DR |
| City | CONVOY |
| State | OH |
| Zip Code | 45832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245638402 | Village of Convoy | Ambulance | 117 Franklin Street, Convoy, OH 45832 | 2014-12-19 |
| 1770949133 | Castle Home Modification LLC | Contractor | 102 S Main St, Convoy, OH 45832-7710 | 2016-01-14 |
| 1336789114 | Leslie Ann Collins | Home Health | 539 N Main St, Convoy, OH 45832-7737 | 2020-01-09 |
| 1386883056 | Crestview Local School District | Local Education Agency (LEA) | 531 E Tully St, Convoy, OH 45832-8864 | 2009-02-19 |
| 1619338548 | Kayla Langen | Specialist/Technologist | 531 E Tully St, Convoy, OH 45832-8864 | 2016-03-20 |
| 1164471520 | The Sarah Jane Living Center, Ltd | Skilled Nursing Facility | 510 E Tully St, Convoy, OH 45832-8876 | 2006-05-10 |
| 1578956439 | Modplus Services LLC | Contractor | 3671 Harrison Center Rd, Convoy, OH 45832-8929 | 2015-03-16 |
| 1154578219 | Kimberly Marie Christenson | Physical Therapy Assistant | 1231 Klinger Rd, Convoy, OH 45832-9226 | 2008-08-20 |
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471520 | The Sarah Jane Living Center, Ltd | Skilled Nursing Facility | 510 E Tully St, Convoy, OH 45832-8876 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1508492174 | Majestic Care of Paulding LLC | Skilled Nursing Facility | 199 Road 103, Paulding, OH 45879-8776 | 2020-03-16 |
| 1548890338 | Trilogy Healthcare of Gahanna, LLC | Skilled Nursing Facility | 748 Taylor Rd, Gahanna, OH 43230-3203 | 2020-01-21 |
| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEACONESS LONG TERM CARE OF OHIO, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.