Piketon Facility Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIKETON FACILITY OPERATIONS, LLC

Practice address

300 Overlook Dr
Piketon, OH 45661-9760

Phone

(740) 289-4074

Fax

(740) 289-4581

NPI assigned

Jul 27, 2006

Organization subpart

Yes

Parent organization

CONSULATE HEALTH CARE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Conte

Title

Chief Executive Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Piketon Nursing Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1003820127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OVERLOOK DR",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619760",
            "telephone_number": "740-289-4074",
            "fax_number": "740-289-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKETON FACILITY OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSULATE HEALTH CARE, LLC",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2710703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piketon Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Pieper
• Pike Co
• Pike Co
• Pike Co
• Pike County Board of MRDD
• Piketon Nursing Center LLC
• Pleasant Hill Leasing, LLC
• Melisa Lynn Ponder
• Portsmouth Emergency Ambulance Service Inc
• Shawn Randall Prentice

• Skilled Nursing Facility in Piketon, OH
• Providers in Piketon, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.