Healthcare Ventures of Ohio LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1783N Issued in OH

Legal business name

HEALTHCARE VENTURES OF OHIO LLC

Doing business as

Oak Grove Manor

Practice address

1670 Crider Rd
Mansfield, OH 44903-9268

Phone

(419) 589-6222

Fax

(419) 589-2576

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Oscar G Aleman

Title

Controller

Phone

(614) 459-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Grove Manor Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1073687752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203644",
            "telephone_number": "614-459-2482",
            "fax_number": "614-459-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CRIDER RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039268",
            "telephone_number": "419-589-6222",
            "fax_number": "419-589-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE VENTURES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-459-2482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1783N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Grove Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Mansfield, OH
• Providers in Mansfield, 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 Mar 21, 2012; 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.