Concord Care Center of Milan, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

5359 Issued in OH

Legal business name

CONCORD CARE CENTER OF MILAN, INC.

Practice address

185 S Main St
Milan, OH 44846-9765

Phone

(419) 499-2576

Fax

(419) 499-4577

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Debra A Ifft, CPA

Title

Ceo

Phone

(330) 759-2357

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Briarfield of Milan Doing business as

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1013908359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S MAIN ST",
            "address_2": "P.O. BOX 1650",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469765",
            "telephone_number": "419-499-2576",
            "fax_number": "419-499-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S MAIN ST",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469765",
            "telephone_number": "419-499-2576",
            "fax_number": "419-499-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CARE CENTER OF MILAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "IFFT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-2357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "5359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052095",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000314543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarfield of Milan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Keven L Deeter, CRNA

• All providers in Milan, OH
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.