OTTERBEIN PORTAGE VALLEY, INC.


Address: 20311 Pemberville Rd, Pemberville, OH 43450-9413
Phone: 4198337000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 4762 OH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DMERC 0537130002 01
OH 0610093 05

Office Location

Street Address 20311 PEMBERVILLE RD
City PEMBERVILLE
State OH
Zip Code 43450-9413

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City PEMBERVILLE
Zip Code 43450

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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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