Concord Care Center of Sandusky, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5642 Issued in OH

Legal business name

CONCORD CARE CENTER OF SANDUSKY, INC.

Practice address

620 W Strub Rd
Sandusky, OH 44870-5779

Phone

(419) 626-5373

Fax

(419) 627-1181

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Debra A Ifft, CPA

Title

Ceo

Phone

(330) 759-2357

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Concord Care and Rehabilitation Center Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Concord Care Center of Sandusky Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, OH
  • NPI 1760566343
  NPPES parent name

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1043201379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W STRUB RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705779",
            "telephone_number": "419-626-5373",
            "fax_number": "419-627-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W STRUB RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705779",
            "telephone_number": "419-626-5373",
            "fax_number": "419-627-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CARE CENTER OF SANDUSKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "IFFT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-2357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NPI",
            "identifier": "1760566343",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109551",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000250271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandrell Collins
• Sean Collins, M.ED.
• Community Care Alternatives, Inc.
• Community Hospitalist, LLC
• Concord Care Center of Sandusky Inc.
• Thomas R. Conley, D.O.
• Continent Health Company of Sandusky, LLC
• Jennifer Lizzette Contreras
• Amanda M Cook, NP-C
• Gregory P Cook, MD

• Skilled Nursing Facility in Sandusky, OH
• Providers in Sandusky, 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 Jul 12, 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.