Zandex Health Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1710N Issued in OH

Legal business name

ZANDEX HEALTH CARE CORPORATION

Practice address

60583 State Route 7
Shadyside, OH 43947

Phone

(740) 676-8381

Fax

(740) 676-3979

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Lyle W Clark, CFO

Title

VP Cfo

Phone

(740) 454-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shadyside Care Center Doing business as

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1023090883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "address_2": "1122 TAYLOR STREET",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437020730",
            "telephone_number": "740-454-1400",
            "fax_number": "704-454-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60583 STATE ROUTE 7",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "43947",
            "telephone_number": "740-676-8381",
            "fax_number": "740-676-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANDEX HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "740-454-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1710N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadyside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Shadyside, OH
• Providers in Shadyside, 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 Feb 11, 2015; 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.