PROMEDICA CONTINUING CARE SERVICES CORP (NPI# 1265492334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492334 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CONTINUING CARE SERVICES CORP |
| Other Organization Name | LAKE PARK |
| Practice Address |
5100 Harroun Rd Sylvania OH 43560-2110 |
| Practice Telephone | 4198241000 |
| Mailing Telephone | 4198241000 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLADEEN ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 4198245660 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0036786 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144283979 | Promedica Continuing Care Services Corp | Alzheimer Center (Dementia Center) | 5320 Harroun Rd, Sylvania, OH 43560-2114 | 2006-04-11 |
| 1518952225 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 4345 Secor Rd, Suite A, Toledo, OH 43623-4233 | 2005-09-19 |
| 1184619801 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 601 Parkway Dr, Fostoria, OH 44830-1592 | 2005-09-19 |
| 1497822092 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 2751 Bay Park Dr, Suite 110, Oregon, OH 43616-4921 | 2006-11-29 |
| 1902881824 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 770 Riverside Ave, Suite 104, Adrian, MI 49221-1476 | 2005-12-14 |
| 1013903749 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 4345 Secor Rd, Suite B, Toledo, OH 43623-4233 | 2005-09-27 |
| 1467447177 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-09-19 |
| Street Address |
5100 HARROUN RD |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285055178 | Jennifer Lynn Pelton | Occupational Therapy Assistant | 5100 Harroun Rd, Sylvania, OH 43560-2110 | 2013-12-19 |
| 1922447408 | Kara Will | Physical Therapist | 5100 Harroun Rd, Sylvania, OH 43560-2110 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| 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 |
|---|---|---|---|---|
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1346623949 | Hcrmc - Promedica, LLC | Skilled Nursing Facility | 5360 Harroun Rd, Sylvania, OH 43560-2114 | 2015-07-01 |
| 1164498044 | Sunset Retirement Communities, Inc | Skilled Nursing Facility | 9640 Sylvania Metamora Rd, Sylvania, OH 43560-9485 | 2006-02-28 |
| 1518937515 | Syl-view Health Care Center, Inc. | Skilled Nursing Facility | 411 Pine St, Box 538, Sylvania, GA 30467-2035 | 2006-01-24 |
| 1477540649 | Kingston Care Center of Sylvania, LLC | Skilled Nursing Facility | 4121 King Rd, Sylvania, OH 43560-4438 | 2005-10-04 |
| 1295397362 | Mountain Crest Oh Opco LLC | Skilled Nursing Facility | 5757 Whiteford Rd, Sylvania, OH 43560-1632 | 2019-06-28 |
| 1205309176 | Promedica of Sylvania Oh, LLC | Skilled Nursing Facility | 5320 Harroun Rd, Sylvania, OH 43560-2114 | 2019-01-03 |
| 1811084064 | Rosary Care Center | Skilled Nursing Facility | 6832 Convent Blvd, Sylvania, OH 43560-4805 | 2006-10-09 |
| 1356458996 | Harborside Sylvania, LLC | Skilled Nursing Facility | 5757 Whiteford Rd, Sylvania, OH 43560-1632 | 2006-08-23 |
| 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 PROMEDICA CONTINUING CARE SERVICES CORP.
| 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.