NPIMap

St Augustine Manor

A Medicare group practice based in Parma, OH: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6709808116), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709808116The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
4
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20100618000712 OH Part A Provider - Skilled Nursing Facility 1396883591
O20120723000472 OH Part A Provider - Home Health Agency 1578644316
O20120426000179 OH Part A Provider - Hospice 1376667014
O20150807013733 OH Part B Supplier - Clinic/Group Practice 1033599105

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (5).

Sources for this page