Wilmington Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1407-NH Issued in OH

Legal business name

WILMINGTON NURSING & REHABILITATION CENTER LLC

Practice address

75 Hale St
Wilmington, OH 45177-2104

Phone

(937) 382-1621

Fax

(937) 383-1215

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Leo Feigenbaum

Title

Ceo

Phone

(847) 677-9823

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083604128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N SAINT LOUIS AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123726",
            "telephone_number": "847-677-9823",
            "fax_number": "847-677-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HALE ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772104",
            "telephone_number": "937-382-1621",
            "fax_number": "937-383-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEIGENBAUM",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-677-9823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1407-NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2408871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Wilmington, OH
• Providers in Wilmington, 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 22, 2020; 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.