IHS Acquisition No 124 Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5453 Issued in OH

Legal business name

IHS ACQUISITION NO 124 INC

Doing business as

Washington Square Healthcare Center

Practice address

202 Washington St NW
Warren, OH 44483-4735

Phone

(330) 399-8997

Fax

(330) 393-5889

NPI assigned

Dec 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Lamar Hopkins

Title

Director Accounting & Reimbursement

Phone

(443) 539-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Square Healthcare Center Doing business as

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1043297757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WASHINGTON ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834735",
            "telephone_number": "330-399-8997",
            "fax_number": "330-393-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WASHINGTON ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834735",
            "telephone_number": "330-399-8997",
            "fax_number": "330-393-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS ACQUISITION NO 124 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_title_or_position": "DIRECTOR ACCOUNTING & REIMBURSEMENT",
        "authorized_official_telephone_number": "443-539-2362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2570776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Square Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Huston
• Christina Marie Hutchison
• George Hylton
• Hyo Kim, M.D.,Inc. (Quantum Physical Medicine Institute)
• Marleen Iannucci
• Imperfecta&K
• Imperial Operating Co, LLC (Cedarcreek Health Care Center)
• Janice Elaine Infant, LPCC, LSP
• Raffaela Infante
• Richard Ingle

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, 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 Sep 4, 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.