CHS - Glenwell, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0776N Issued in OH

Legal business name

CHS - GLENWELL, INC

Practice address

2923 Hamilton Mason Rd
Hamilton, OH 45011-5355

Phone

(513) 863-0360

Fax

(513) 887-4721

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Robert Speelman

Title

President

Phone

(330) 204-1040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellington Manor Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1023092111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 W ORANGE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158922",
            "telephone_number": "330-204-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 HAMILTON MASON RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115355",
            "telephone_number": "513-863-0360",
            "fax_number": "513-887-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS - GLENWELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "SPEELMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-204-1040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0776N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2429321",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zeljka Chobanov, M.D.
• Keith Robert Christen
• Jeffrey Christian
• John C Christman
• Amanda Beth Christy, OTR/L
• CHS - Glenwell, Inc
• CHS - Huntington, Inc
• CHS - Lake Erie, Inc
• CHS - Miami Valley, Inc
• Julie A Cianchetti-Bridgeford, C.N.P.

• Skilled Nursing Facility in Hamilton, OH
• Providers in Hamilton, 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 May 13, 2016; 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.