NPIMap

Organization Active NPI

Marion Manor Nursing Home

  • Skilled Nursing Facility
  • Marion, OH
National Provider Identifier
1093132326
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1473 Issued in OH
Legal business name
MARION MANOR NURSING HOME
Practice address
195 Executive Dr
Marion, OH 43302-6343
Phone
(740) 387-9545
Fax
(740) 382-3810
NPI assigned
Mar 25, 2014
Organization subpart
Yes
Parent organization
LEVERING MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Mr. William B Levering Sr.
Title
Ceo
Phone
(740) 397-8940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1473 OH Primary

Addresses

Primary practice location

195 Executive Dr
Marion, OH 43302-6343

Mailing address

195 Executive Dr
Marion, OH 43302-6343
Phone (740) 387-9545

Other identifiers 1

IdentifierTypeStateIssuer
0053847MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Marion Manor Nursing Home5 organizations share this tax ID, including this one
Part of
Marion Manor Nursing Home

Other organizations with this tax ID 4

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1093132326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026343",
            "telephone_number": "740-387-9545",
            "fax_number": "740-382-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026343",
            "telephone_number": "740-387-9545",
            "fax_number": "740-382-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION MANOR NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEVERING MANAGEMENT, INC.",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LEVERING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-397-8940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053847",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.