Oak Health Care Investors of Mt. Vernon, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

5240 Issued in OH

Legal business name

OAK HEALTH CARE INVESTORS OF MT. VERNON, INC.

Doing business as

The Laurels of Mt. Vernon

Practice address

13 Avalon Rd
Mount Vernon, OH 43050-1403

Phone

(740) 397-3200

Fax

(740) 397-4326

NPI assigned

Oct 25, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Patton

Title

Cfo

Phone

(614) 794-8800

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• THE LAURELS OF MT. VERNON Doing business as

Tax ID family

Laurels of Mt Vernon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oak Health Care Investors of Mt Vernon, Inc.

  dba The Laurels of Mt Vernon

  • Skilled Nursing Facility
  • Mount Vernon, OH
  • NPI 1316993355
  NPD tax ID

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1033294764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 AVALON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501403",
            "telephone_number": "740-397-3200",
            "fax_number": "740-397-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 AVALON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501403",
            "telephone_number": "740-397-3200",
            "fax_number": "740-397-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HEALTH CARE INVESTORS OF MT. VERNON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "7105592",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994090",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE #",
            "identifier": "5240",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "000000157631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF MT. VERNON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Charles Nimeth, MD
• Cindy Diane Northup, RN
• Kimberly H Novak, LSW
• Emily Anne Nussbaum, APRN CNP
• Oak Health Care Investors of Mt Vernon, Inc. (The Laurels of Mt Vernon)
• Michaela Ann Obryan
• Adaeze Uchenna Ogadi, MD
• Ogle Family Practice
• Brent Burton Ogle, DO
• Jennifer F Ogle, DO

• Parenteral & Enteral Nutrition Supplies (DME) in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.