Heartland-Fairfield of Pleasantville Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0385N Issued in OH

Legal business name

HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC

Doing business as

Heartland - Fairfield

Practice address

7820 Pleasantville Rd.
Pleasantville, OH 43148-0248

Phone

(740) 536-7381

Fax

(740) 536-9609

NPI assigned

Jun 23, 2006

Last updated

Jun 12, 2017By 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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland - Fairfield Doing business as

Tax ID family

Country Lane Gardens Rehab and Nursing C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fairfield Gardens Rehabilitation and Care Center LLC

  • Skilled Nursing Facility
  • Valley Stream, NY
  • NPI 1235684309
  NPD tax ID

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1063448926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 PLEASANTVILLE RD.",
            "city": "PLEASANTVILLE",
            "state": "OH",
            "postal_code": "431480248",
            "telephone_number": "740-536-7381",
            "fax_number": "740-536-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0385N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2792009",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland - Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Continuity of Care Providers, LLC
• Mikayla Hill
• Cody Robert McManus
• Brenda Munsey
• Peauchee Passion
• Madelynn Rose Sullivan

• Skilled Nursing Facility in Pleasantville, OH
• Providers in Pleasantville, 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 Jun 12, 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.