SERENITY MANOR INC


Address: 87 Staley Rd, Orwell, OH 44076-8377
Phone: 4404377171

SERENITY MANOR INC (NPI# 1376590406) 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) 1376590406
Entity Type Organization
Organization Name SERENITY MANOR INC
Other Organization Name SERENITY MANOR
Practice Address 87 Staley Rd
Orwell
OH 44076-8377
Mailing Address 2125 W Prospect Rd
Ashtabula
OH 44004-6439
Practice Telephone 4404377171
Practice Fax Number 4404371086
Mailing Telephone 4409928387
Mailing Fax Number 4409927650
Enumeration Date 2006-05-26
Last Update Date 2020-08-22
Authorized Official Name MRS. BEATRICE A KNOWLSON (OWNER)
Authorized Official Telephone 4409928387
Authorized Official Credential RN/LNHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 6261 OH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 2357579 05

Other Provider/Organization Names

Other Name Type Code
Serenity Manor Doing Business As Name - Organization

Office Location

Street Address 87 STALEY RD
City ORWELL
State OH
Zip Code 44076-8377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497288542 Ep Opco, LLC Skilled Nursing Facility 87 Staley Rd, Orwell, OH 44076-8377 2017-04-05
1932395597 Eagle Pointe Management Inc Skilled Nursing Facility 87 Staley Rd, Orwell, OH 44076-8377 2007-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841617131 Elizabeth Reynolds Registered Nurse 111 Grand Valley Avenue West, Orwell, OH 44076 2014-03-25
1871680504 Rudolf Schuster Dentist 60 North Maple St, Orwell, OH 44076 2006-10-06
1205949559 Kenneth L Lawrence Dentist 320 N Maple Ave, Orwell, OH 44076-0065 2006-08-17
1245573922 Joan D Limpert Home Health 8695 Troutman Rd, Orwell, OH 44076-8309 2013-04-01
1144774233 Rinda Easton Licensed Practical Nurse 1823 Us Route 322, Orwell, OH 44076-8327 2016-08-07
1033422977 Nicole Gama Registered Nurse 694 Breezewood Ln, Orwell, OH 44076-8374 2010-07-21
1053606897 Sandra Nims Licensed Practical Nurse 7191 State Route 46, Orwell, OH 44076-9379 2011-06-09
1699104851 Laura Willingham Registered Nurse 7377 State Route 46, Orwell, OH 44076-9381 2013-11-07
1841206943 Tracy R Greb Physical Therapist 53a E Main St, Orwell, OH 44076-9428 2006-07-31
1114960440 Keystone Rehabilitation Systems Inc Clinic/Center 53 E Main St, Orwell, OH 44076-9428 2006-06-14
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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 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 ORWELL
Zip Code 44076

Improve Information

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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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