NPIMap

Organization Active NPI

Carington Park Nursing Home

  • Skilled Nursing Facility
  • Ashtabula, OH
National Provider Identifier
1063400638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6265 Issued in OH
Legal business name
CARINGTON PARK NURSING HOME
Practice address
2217 West Ave
Ashtabula, OH 44004-3107
Phone
(440) 964-8446
Fax
(440) 964-9083
NPI assigned
Oct 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wanda Rice
Title
Ceo
Phone
(513) 682-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6265 OH Primary

Addresses

Primary practice location

2217 West Ave
Ashtabula, OH 44004-3107

Mailing address

2217 West Ave
Ashtabula, OH 44004-3107
Phone (440) 964-8446

Other identifiers 1

IdentifierTypeStateIssuer
2339268MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
CHS - Lake Erie Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063400638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 WEST AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043107",
            "telephone_number": "440-964-8446",
            "fax_number": "440-964-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 WEST AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043107",
            "telephone_number": "440-964-8446",
            "fax_number": "440-964-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINGTON PARK NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-682-2700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.