THE OHIO EASTERN STAR HOME, INC


Address: 1451 Gambier Rd, Mount Vernon, OH 43050-9112
Phone: 7403971706

THE OHIO EASTERN STAR HOME, INC (NPI# 1669471264) 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) 1669471264
Entity Type Organization
Organization Name THE OHIO EASTERN STAR HOME, INC
Practice Address 1451 Gambier Rd
Mount Vernon
OH 43050-9112
Practice Telephone 7403971706
Practice Fax Number 7403921662
Mailing Telephone 7403971706
Mailing Fax Number 7403921662
Enumeration Date 2005-07-18
Last Update Date 2020-08-22
Authorized Official Name MRS. ZANDRA LEIGH SMITH (CEO/ADMINISTRATOR)
Authorized Official Telephone 7403971706
Authorized Official Credential LNHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 190 OH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH HOME NUMBER 1037 01

Office Location

Street Address 1451 GAMBIER RD
City MOUNT VERNON
State OH
Zip Code 43050-9112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326047929 Ohio Eastern Star Health Care Center, Inc. Skilled Nursing Facility 1451 Gambier Rd, Mount Vernon, OH 43050-9112 2005-07-18
1952913816 Andre Druso Occupational Therapist 1451 Gambier Rd, Mount Vernon, OH 43050-9112 2020-08-20
1316239783 Ohio Eastern Star Community Services Home Health 1451 Gambier Rd, Mount Vernon, OH 43050-9112 2011-05-04
1285831842 Lane Keyes Belangia Physical Therapy Assistant 1451 Gambier Rd, Mount Vernon, OH 43050-9112 2007-06-28
1558577296 Anne Marie Doup Occupational Therapy Assistant 1451 Gambier Rd, Mount Vernon, OH 43050-9112 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043739972 Roxanne Renee Berry Case Manager/Care Coordinator Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 2017-09-12
1477079309 Blaine Elizabeth Barr Case Manager/Care Coordinator 510 Mitchell Avenue, Mount Vernon, OH 43050 2017-08-22
1205351004 Knox Community Hospital Durable Medical Equipment & Medical Supplies 1330 Coshocton Ave., Mount Vernon, OH 43050 2017-08-14
1568998722 Jami Passwaters Case Manager/Care Coordinator 8402 Blackjack Road, Mount Vernon, OH 43050 2017-05-10
1962892661 Mount Vernon Nh LLC Assisted Living Facility 1135 East Gambier Street, Mount Vernon, OH 43050 2015-02-02
1881009017 Pamela Robinson Licensed Practical Nurse 10263 Tucker Road, Mount Vernon, OH 43050 2014-06-26
1356756837 Charla Sue Johnson Licensed Practical Nurse 228 Delano Street, Mt Vernon, OH 43050 2014-06-24
1588076236 Erica Ferrell Licensed Practical Nurse 701 West Burgess Street, Mount Vernon, OH 43050 2014-05-29
1386085637 Genesis Rehab Services Assisted Living Facility 6918 Wigton Road, Mount Vernon, OH 43050 2013-07-16
1427310473 Jonathan Titus Hardin Family Medicine 1330 Coschocton Road, Mount Vernon, OH 43050 2012-06-14
Find all providers in zip 43050

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
1447317235 Levering Management Inc. Nursing Facility/Intermediate Care Facility 1076 Coshocton Ave, Mount Vernon, OH 43050-1474 2007-01-02
1316993355 Oak Health Care Investors of Mt Vernon, Inc. Nursing Facility/Intermediate Care Facility 13 Avalon Rd, Mount Vernon, OH 43050-1403 2006-05-25
1659363661 Caravilla Residential Centers, Inc Nursing Facility/Intermediate Care Facility 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 2005-08-16
1184616195 Caravilla Residential Centers, Inc Nursing Facility/Intermediate Care Facility 1717 Jefferson Ave, Mount Vernon, IL 62864-4330 2005-08-16
1780767897 Petersen Management Company, LLC Nursing Facility/Intermediate Care Facility 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 2006-10-23
1659471993 Petersen Health Care Ll, Inc. Nursing Facility/Intermediate Care Facility 1717 Jefferson Ave, Mount Vernon, IL 62864-4330 2006-09-25

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
Find all providers with the same taxonomy

Competitor

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City MOUNT VERNON
Zip Code 43050

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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