Community Skilled Nursing Centre

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2864 Issued in OH

Legal business name

COMMUNITY SKILLED NURSING CENTRE

Practice address

1320 Mahoning Ave NW
Warren, OH 44483-2002

Phone

(330) 373-1160

Fax

(330) 392-3649

NPI assigned

Jul 22, 2006

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Decristofaro, CPA

Title

Cfo

Phone

(330) 373-1160

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijaykumar Sankalchand Shah, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1851381016
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1063433225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832002",
            "telephone_number": "330-373-1160",
            "fax_number": "330-392-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832002",
            "telephone_number": "330-373-1160",
            "fax_number": "330-392-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SKILLED NURSING CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "DECRISTOFARO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-373-1160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391571",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE PRODUCTS",
            "identifier": "000000157102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cannie Ann Collins
• Debra Rae Colvin
• William Colvin, CDCA
• Renee Commarato, DDS,MS
• Community Commons
• Community Solutions Association
• Compass Family and Community Services
• Complete Dental Care of Champion Heights by Robert Doyle, DMD, LLC
• Complete Occupational Health Center LLC
• Kimberly Compton, RN

• 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 Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.