Concord Care Center of Cortland, Inc.

Organization Active NPI Skilled Nursing Facility · Cortland, OH

NPI 1013908334 · NPPES record last updated Jul 12, 2007

Key facts

NPI
1013908334
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
5644 (OH)
Legal business name
CONCORD CARE CENTER OF CORTLAND, INC.
Practice address
4250 Sodom Hutchings Rd
Cortland, OH 44410-9790
Phone
(330) 637-7906
Fax
(330) 638-2639
NPI assigned
Nov 4, 2005
Organization subpart
No

Authorized official

Name
Mrs. Debra A. Ifft, CPA
Title
Ceo
Phone
(330) 759-2357

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5644 OH Yes

Addresses

Primary practice location

4250 Sodom Hutchings Rd
Cortland, OH 44410-9790

Mailing address

4250 Sodom Hutchings Rd
Cortland, OH 44410-9790
Phone (330) 637-7906

Other identifiers

IdentifierTypeStateIssuer
2109695MedicaidOH
1689750895OtherOHMEDICARE DME SUPPLIER NUM
000000346687OtherOHANTHEM

Other names

  • Briarfield of Cortland Doing business as

Other providers in Cortland, OH

All providers in Cortland, OH · Skilled Nursing Facility in Ohio

Sources for this page

Verify at the official NPI Registry.