Zandex Health Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2062N Issued in OH

Legal business name

ZANDEX HEALTH CARE CORPORATION

Doing business as

Beckett House at New Concord

Practice address

1280 Friendship Dr
New Concord, OH 43762-1024

Phone

(740) 872-0809

Fax

(740) 826-9101

NPI assigned

Nov 3, 2005

Last updated

May 10, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ZANDEX HEALTH CARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Lyle W Clark, CFO

Title

VP Cfo

Phone

(740) 454-1400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Beckett House at New Concord Doing business as

Part of

Zandex Health Care Corporation

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1063403582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "address_2": "1122 TAYLOR STREET",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437020730",
            "telephone_number": "740-454-1400",
            "fax_number": "740-454-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 FRIENDSHIP DR",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437621024",
            "telephone_number": "740-872-0809",
            "fax_number": "740-826-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANDEX HEALTH CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZANDEX HEALTH CARE CORPORATION",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "740-454-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5094",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2062N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "5094",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beckett House at New Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William H. Overholser, M.D., Inc.
• Rebekah Winsley, NREMT
• Wootton Chiropractic, Inc.
• Steven B. Wootton, D.C.
• Ginger A Young

• Skilled Nursing Facility in New Concord, OH
• Providers in New Concord, 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 May 10, 2017; 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.