Active NPI
Horn Retirement Village, Inc.
- Skilled Nursing Facility
- Wooster, OH
National Provider Identifier
1043200546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5548
- Legal business name
- HORN RETIREMENT VILLAGE, INC.
- Practice address
- 230 N Market St
Wooster, OH 44691-3512 - Phone
- (330) 262-2951
- Fax
- (330) 264-1254
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Sprenger
- Title
- Executive VP and Cio
- Phone
- (440) 989-5234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5548 | OH | Primary |
Addresses
Primary practice location
230 N Market St
Wooster, OH 44691-3512
Mailing address
230 N Market St
Wooster, OH 44691-3512
Phone (330) 262-2951
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000357113 | Other | OH | ANTHEM PT |
| 000000357115 | Other | OH | ANTHEM OT |
| 000000357116 | Other | OH | ANTHEM ST |
| 2265285 | Medicaid | OH | |
| 000000156456 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
230 N Market St
Wooster, OH 44691
Phone (330) 262-2951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1043200546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N MARKET ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446913512",
"telephone_number": "330-262-2951",
"fax_number": "330-264-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MARKET ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446913512",
"telephone_number": "330-262-2951",
"fax_number": "330-264-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORN RETIREMENT VILLAGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SPRENGER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE VP AND CIO",
"authorized_official_telephone_number": "440-989-5234"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "5548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT",
"identifier": "000000357113",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM OT",
"identifier": "000000357115",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ST",
"identifier": "000000357116",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265285",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000156456",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.