NPIMap

Organization Active NPI

Essex Healthcare Corp

Doing business as Evergreen Manor Nursing Home-Lab

  • Clinical Medical Laboratory
  • Montpelier, OH
National Provider Identifier
1093969040
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0858801 Issued in OH
Legal business name
ESSEX HEALTHCARE CORP
Doing business as
Evergreen Manor Nursing Home-Lab
Practice address
924 Charlies Way
Montpelier, OH 43543-1904
Phone
(419) 485-8307
NPI assigned
Nov 4, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ESSEX HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dennis Lockhart
Title
Controller
Phone
(614) 416-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0858801 OH Primary

Addresses

Primary practice location

924 Charlies Way
Montpelier, OH 43543-1904

Mailing address

924 Charlies Way
Montpelier, OH 43543-1904
Phone (419) 485-8307

Other names 1

  • Evergreen Manor Nursing Home-Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essex Healthcare Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1093969040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CHARLIES WAY",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431904",
            "telephone_number": "419-485-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 CHARLIES WAY",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431904",
            "telephone_number": "419-485-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTHCARE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSEX HEALTH CARE",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-416-0600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0858801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Manor Nursing Home-Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montpelier, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.