NPIMap

Organization Active NPI

Jada, Inc

  • Skilled Nursing Facility
  • Mount Vernon, OH
National Provider Identifier
1053308726
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JADA, INC
Doing business as
ROSE GARDEN NURSING HOME
Practice address
303 N Main St
Mount Vernon, OH 43050-2045
Phone
(740) 393-2046
Fax
(740) 309-5140
NPI assigned
Sep 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mrs. Tracy R Robertson
Title
Corp.Office Administrative Assist
Phone
(419) 526-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

303 N Main St
Mount Vernon, OH 43050-2045

Mailing address

303 N Main St
Mount Vernon, OH 43050-2045
Phone (740) 393-2046

Other names 1

  • ROSE GARDEN NURSING HOME Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1053308726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502045",
            "telephone_number": "740-393-2046",
            "fax_number": "740-309-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502045",
            "telephone_number": "740-393-2046",
            "fax_number": "740-309-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORP.OFFICE ADMINISTRATIVE ASSIST",
        "authorized_official_telephone_number": "419-526-0124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE GARDEN NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.