SHCP Medina Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1740N Issued in OH

Legal business name

SHCP MEDINA INC.

Practice address

550 Miner Dr
Medina, OH 44256-1472

Phone

(330) 725-1550

Fax

(330) 725-8322

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Hayley B. Williams

Title

Attorney

Phone

(216) 706-3936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medina Meadows Doing business as

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

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• SHCP, Medina, Inc.

  • Clinical Medical Laboratory
  • Medina, OH
  • NPI 1720380199
  NPPES parent name

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1083777577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EMERALD RIDGE PKWY",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391860",
            "telephone_number": "440-498-3000",
            "fax_number": "440-498-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MINER DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561472",
            "telephone_number": "330-725-1550",
            "fax_number": "330-725-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHCP MEDINA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1740N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannan C Ross MD Inc.
• Bipin K. Sharma, MD
• Tariq Sharman, MD
• Stephen Shattuck
• Amy Shaver, LPN
• SHCP, Medina, Inc.
• Sabreen Kaur Sheera
• Shellie L Graf
• Ashley C Shelton, PSYD.
• Coela Shelton

• Skilled Nursing Facility in Medina, OH
• Providers in Medina, 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 Feb 9, 2015; 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.