OTTERBEIN PORTAGE VALLEY, INC. (NPI# 1629060058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629060058 |
Entity Type | Organization |
Organization Name | OTTERBEIN PORTAGE VALLEY, INC. |
Practice Address |
20311 Pemberville Rd Pemberville OH 43450-9413 |
Practice Telephone | 4198337000 |
Practice Fax Number | 4198335763 |
Mailing Telephone | 4198337000 |
Mailing Fax Number | 4198335763 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2017-04-24 |
Authorized Official Name | MRS. RITA C HAWKINS (AVP FINANCE/CONTROLLER) |
Authorized Official Telephone | 5139335401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 4762 | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DMERC | 0537130002 | 01 | |
OH | 0610093 | 05 |
Street Address |
20311 PEMBERVILLE RD |
City | PEMBERVILLE |
State | OH |
Zip Code | 43450-9413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447250774 | Cheri Jan Diller | Family Medicine | 20311 Pemberville Rd, Suite B, Pemberville, OH 43450-9413 | 2005-07-28 |
1275134496 | Amanda Rizzo | Occupational Therapist | 20311 Pemberville Rd, Pemberville, OH 43450-9413 | 2020-11-04 |
1962003061 | Tawiona Brown | Physical Therapist | 20311 Pemberville Rd, Pemberville, OH 43450-9413 | 2020-11-04 |
1255932554 | Samantha A Kohls | Speech-Language Pathologist | 20311 Pemberville Rd, Pemberville, OH 43450-9413 | 2020-11-03 |
1184742090 | Meagan Bridget Bower | Internal Medicine | 20311 Pemberville Rd, Suite B, Pemberville, OH 43450-9413 | 2007-03-27 |
1164452348 | Northwest Ohio Primary Care Physicians, Inc. | Family Medicine | 20311 Pemberville Rd, Pemberville, OH 43450-9413 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780656082 | Rebecca L. Krukemyer | Audiologist | 133 East Front St., Pemberville, OH 43450 | 2006-02-02 |
1437146867 | William O Donnelly | Psychologist | 429 W. College Ave, Donnelly Community Psychology, Pemberville, OH 43450 | 2005-09-30 |
1053452490 | Jon Timothy Truman | Chiropractor | 131 E Front St, Pemberville, OH 43450-0415 | 2007-02-09 |
1295829703 | Pre Cursor Inc | Durable Medical Equipment & Medical Supplies | 143 East Front Street, Pemberville, OH 43450-0897 | 2006-10-02 |
1396243069 | Ags Holding LLC | Pharmacy | 209 Bierley Ave, Pemberville, OH 43450-7003 | 2018-01-29 |
1184907115 | Pemberville Drug Store LLC | Pharmacy | 139 E Front St # 897, Pemberville, OH 43450-7032 | 2011-09-26 |
1881868784 | Portage Valley Hearing, LLC | Clinic/Center | 133 E Front St, Pemberville, OH 43450-7032 | 2008-04-22 |
1881766418 | Pemberville Drug Store LLC | Durable Medical Equipment & Medical Supplies | 143 E Front St, Pemberville, OH 43450-7032 | 2006-11-15 |
1750467783 | John T Archer & Associates Inc | Optometrist | 213 E Front St, Pemberville, OH 43450-7036 | 2006-10-31 |
1285860528 | Portage River Rehab | Occupational Therapist | 222 E Front St, Ste 3, Pemberville, OH 43450-7105 | 2009-06-01 |
Find all providers in zip 43450 |
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. |
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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 |
City | PEMBERVILLE |
Zip Code | 43450 |
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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.