Organization Active NPI

Horn Retirement Village, Inc.

  • Skilled Nursing Facility
  • Wooster, OH
National Provider Identifier
1043200546
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5548 Issued in OH
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000357113OtherOHANTHEM PT
000000357115OtherOHANTHEM OT
000000357116OtherOHANTHEM ST
2265285MedicaidOH
000000156456OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.