NPIMap

Organization Active NPI

Roselawn Gardens Healthcare

  • Skilled Nursing Facility
  • Alliance, OH
National Provider Identifier
1073948220
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1549N Issued in OH
Legal business name
ROSELAWN GARDENS HEALTHCARE
Practice address
11999 Klinger Ave NE
Alliance, OH 44601-1116
Phone
(330) 823-0618
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Paul B Bergsten, LNHA
Title
Owner Ceo
Phone
(937) 825-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1549N OH Primary

Addresses

Primary practice location

11999 Klinger Ave NE
Alliance, OH 44601-1116

Mailing address

11999 Klinger Ave NE
Alliance, OH 44601-1116
Phone (330) 823-0618

National Provider Directory

National Provider Directory
Tax ID family
Roselawn Gardens Healthcare2 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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1073948220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 KLINGER AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011116",
            "telephone_number": "330-823-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KLINGER AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011116",
            "telephone_number": "330-823-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAWN GARDENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "937-825-6622",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1549N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.