Hillstone Healthcare of Bloomville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HILLSTONE HEALTHCARE OF BLOOMVILLE LLC

Practice address

22 Clinton St
Bloomville, OH 44818-9399

Phone

(419) 983-2021

Fax

(888) 586-0347

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Bergsten

Title

Ceo

Phone

(937) 825-6622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1104216449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 JERICHO PL",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CLINTON ST",
            "city": "BLOOMVILLE",
            "state": "OH",
            "postal_code": "448189399",
            "telephone_number": "419-983-2021",
            "fax_number": "888-586-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSTONE HEALTHCARE OF BLOOMVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-825-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Dillinger
• Jennifer Leabell Ernsberger, RN
• Karin Genette Fraelich, RN, BSN
• Jocelyn Gower, LPN
• Pamela Sue Grover
• Teresa Jo Huth
• Independent Living Solutions
• Mark Harrison Lambert
• Rodney Jay Lynch, DC
• Melanie Lynne Melson, CDCA II

• Skilled Nursing Facility in Bloomville, OH
• Providers in Bloomville, 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 Jan 26, 2015; 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.