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
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2109695 | Medicaid | OH | |
| 1689750895 | Other | OH | MEDICARE DME SUPPLIER NUM |
| 000000346687 | Other | OH | ANTHEM |
Other names
- Briarfield of Cortland
Other providers in Cortland, OH
- Cheryl Ann Cigoy
- City of Cortland
- Koula S Coliadis
- Michael Christopher Coman
- Community Resource Coalition for Independence
- Concord Care Center of Cortland, Inc.
- Connections Therapy Group
- Continent Health Company of Cortland, LLC
- Carl E Cook
- Cortland Family Medical Center, Inc
All providers in Cortland, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.