Active NPI
Elmwood of Fremont, LTD.
- Skilled Nursing Facility
- Fremont, OH
National Provider Identifier
1093813016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ELMWOOD OF FREMONT, LTD.
- Doing business as
- Elmwood Assisted Living of Fremont
Elmwood Skilled Nursing of Fremont - Practice address
- 1545 Fangboner Rd
Fremont, OH 43420-1128 - Phone
- (419) 332-6533
- Fax
- (419) 332-6535
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Kay Hunt
- Title
- Administrator
- Phone
- (419) 332-3378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1545 Fangboner Rd
Fremont, OH 43420-1128
Mailing address
441 N Broadway St
Green Springs, OH 44836-9689
Phone (419) 332-3378
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173R | Other | OH | ODH PROVIDER # |
| 5391 | Other | OH | RCF LICENSE # |
| 0110265 | Medicaid | OH | |
| 2173N | Other | OH | ODH LICENSE NUMBER FOR SNF |
Other names 2
- Elmwood Assisted Living of Fremont
- Elmwood Skilled Nursing of Fremont
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Maumee, OH
- NPI 1538145925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1093813016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 N BROADWAY ST",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369689",
"telephone_number": "419-332-3378",
"fax_number": "419-639-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 FANGBONER RD",
"city": "FREMONT",
"state": "OH",
"postal_code": "434201128",
"telephone_number": "419-332-6533",
"fax_number": "419-332-6535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMWOOD OF FREMONT, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-332-3378"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODH PROVIDER #",
"identifier": "2173R",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCF LICENSE #",
"identifier": "5391",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110265",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODH LICENSE NUMBER FOR SNF",
"identifier": "2173N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elmwood Assisted Living of Fremont",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elmwood Skilled Nursing of Fremont",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.