THE LAURELS OF ROCKFORD, INC. (NPI# 1952483455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952483455 |
| Entity Type | Organization |
| Organization Name | THE LAURELS OF ROCKFORD, INC. |
| Other Organization Name | THE LAURELS OF SHANE HILL |
| Practice Address |
10731 State Route 118 Rockford OH 45882-8947 |
| Practice Telephone | 4193632620 |
| Practice Fax Number | 4193632354 |
| Mailing Telephone | 4193632620 |
| Mailing Fax Number | 4193632354 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MR. TIMOTHY PATTON (CFO) |
| Authorized Official Telephone | 6147948800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
5801 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2165286 | 05 | |
| OH | BC/BS # | 000000253127 | 01 |
| OH | NH LICENSE # | 5801 | 01 |
| OH | UNITED HEALTH CARE ID # | 7105594 | 01 |
| Other Name | Type Code |
|---|---|
| THE LAURELS OF SHANE HILL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| Street Address |
10731 STATE ROUTE 118 |
| City | ROCKFORD |
| State | OH |
| Zip Code | 45882-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| 1376144782 | Shane Hill Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
| 1730183591 | Jerry D Sell | Family Medicine | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1851810212 | Lisa Renee Rolfes | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-09-16 |
| 1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
| 1053454314 | Van Wert Medical Services | Specialist | 506 S Main St, Rockford, OH 45882-9228 | 2007-02-15 |
| 1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
| 1134421456 | Rockford Healthcare Group, Inc. | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2010-11-18 |
| Find all providers in zip 45882 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841135 | Rosewood Care Center, Inc of Rockford | Durable Medical Equipment & Medical Supplies | 1660 S Mulford Rd, Rockford, IL 61108-6760 | 2005-06-17 |
| 1003003765 | Bravo Care of Rockford Inc | Durable Medical Equipment & Medical Supplies | 1660 S Mulford Rd, Rockford, IL 61108-6760 | 2007-09-26 |
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| 1023427705 | Nutritional Medicinals, LLC | Durable Medical Equipment & Medical Supplies | 292 Inwood Rd, Wilmington, OH 45177-8355 | 2014-08-07 |
| 1578841698 | Clinical Specialties Inc | Durable Medical Equipment & Medical Supplies | 9884 Windisch Rd, West Chester, OH 45069-3806 | 2011-07-22 |
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| 1306140496 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 4685 Interstate Dr, West Chester, OH 45246-1109 | 2011-01-04 |
| 1225331788 | Pine Ridge Medical Supply | Durable Medical Equipment & Medical Supplies | 146 N 3rd St, Williamsburg, OH 45176-1322 | 2010-12-06 |
| 1548580301 | Best Solutions Medical Supplies, Ltd | Durable Medical Equipment & Medical Supplies | 30011 Euclid Ave, Wickliffe, OH 44092-1650 | 2010-06-03 |
| 1881860195 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 6971 Southern Blvd, Ste A, Boardman, OH 44512-4652 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
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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.