INTEGRATED HEALTH SERVICES OF NEW LONDON AT FIRELANDS


Address: 204 W Main St, New London, OH 44851-1070
Phone: 3058921790

INTEGRATED HEALTH SERVICES OF NEW LONDON AT FIRELANDS (NPI# 1215143417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215143417
Entity Type Organization
Organization Name INTEGRATED HEALTH SERVICES OF NEW LONDON AT FIRELANDS
Other Organization Name NEW LONDON HEALTHCARE CENTER
Practice Address 204 W Main St
New London
OH 44851-1070
Mailing Address 1680 Michigan Ave
Suite 736
Miami Beach
FL 33139-2538
Practice Telephone 3058921790
Practice Fax Number 3055382699
Mailing Telephone 3058921790
Mailing Fax Number 3055382699
Enumeration Date 2007-05-15
Last Update Date 2020-08-22
Authorized Official Name MR. THEODORE M. DUAY III (CFO)
Authorized Official Telephone 3058921790
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 1825N OH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 0590810 05

Other Provider/Organization Names

Other Name Type Code
New London Healthcare Center Doing Business As Name - Organization

Office Location

Street Address 204 W MAIN ST
City NEW LONDON
State OH
Zip Code 44851-1070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619515277 Lifesource of North Carolina Psychologist 204 W Main St, New London, OH 44851-1070 2019-12-13
1457463556 204 W. Main Street Operating Company, LLC Skilled Nursing Facility 204 W Main St, New London, OH 44851-1070 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568029510 Samaritan Regional Health System Clinic/Center 206 W Main St, New London, OH 44851 2019-05-24
1730567835 Barbara Ann Trimmer Licensed Practical Nurse 19 Johnson Dr, New London, OH 44851-1010 2015-05-11
1669449351 Jeffrey A Harwood Family Medicine 187 W Main St, New London, OH 44851-1018 2006-03-02
1356886618 Haley Robuck Nurse Practitioner 187 W Main St, New London, OH 44851-1018 2016-12-22
1053756734 The Laurels of New London, LLC Skilled Nursing Facility 201 W Main St, New London, OH 44851-1018 2013-05-08
1013969419 New London Family Practice,llc Family Medicine 187 W Main St, New London, OH 44851-1018 2006-05-16
1568864759 William Stewart Home Health Aide 142 Pearl St, New London, OH 44851-1023 2014-09-19
1174890891 Brett Lynn Richards Licensed Practical Nurse 79 Birch Park Dr, New London, OH 44851-1103 2011-11-23
1114247715 Kate A. Bradley Registered Nurse 81 White Ave, New London, OH 44851-1136 2010-06-04
1215560032 Northern Ohio Medical Specialists, LLC Durable Medical Equipment & Medical Supplies 111 E Main St, New London, OH 44851-1201 2020-02-20
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568502276 The New London Hospital Association, Inc. Nursing Facility/Intermediate Care Facility 273 County Rd, New London, NH 03257-5736 2007-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730663139 Pamela Sue Williams Nursing Facility/Intermediate Care Facility 1112 Wamajo Dr, Sandusky, OH 44870-4368 2018-09-20
1407363849 Provider Services LLC Nursing Facility/Intermediate Care Facility 3071 Dunbarton Ave Nw, Canton, OH 44708-1818 2018-01-08
1518493683 Melody Sue King Nursing Facility/Intermediate Care Facility 822 Youngs Lane, Cincinnati, OH 45245 2017-05-10
1700323631 Mika Derifield Nursing Facility/Intermediate Care Facility 205 S Pardee St, Wadsworth, OH 44281-1465 2017-01-30
1336693860 Taria Thompson Nursing Facility/Intermediate Care Facility 613 E 102nd St, Cleveland, OH 44108-1326 2016-08-13
1205389319 Soamazin Automotive Nursing Facility/Intermediate Care Facility 14115 Maplerow Ave, Cleveland, OH 44105-6447 2016-07-26
1194198143 Christina Laury Nursing Facility/Intermediate Care Facility 7666 Clovernook Ave, Cincinnati, OH 45231-3506 2015-11-12
1437539483 Arlington Pointe Investment Group, LLC Nursing Facility/Intermediate Care Facility 4900 Hendrickson Road, Middletown, OH 45044 2015-06-04
1972981322 Toward Independence Inc. Nursing Facility/Intermediate Care Facility 1841 Pueblo Dr, Xenia, OH 45385-4228 2015-05-18
1053799783 Toward Independence Inc. Nursing Facility/Intermediate Care Facility 5021 Oaklawn Dr, Cincinnati, OH 45227-1433 2015-05-14
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Competitor

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City NEW LONDON
Zip Code 44851

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Dataset Information

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.

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