The Champaign County Board of Commissioners

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

THE CHAMPAIGN COUNTY BOARD OF COMMISSIONERS

Doing business as

The Wellington Nursing and Rehabilitation Center

Practice address

2380 S US Highway 68
Urbana, OH 43078-9470

Phone

(937) 653-5291

Fax

(937) 653-3885

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diana L. Caldwell, LNHA

Title

Administrator

Phone

(937) 653-5291

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• The Wellington Nursing and Rehabilitation Center Doing business as

Tax ID family

Champaign County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Champaign County

  • Public Health or Welfare Agency
  • Urbana, OH
  • NPI 1285754994
  NPD tax ID
• Champaign County Board MRDD

  • Developmentally Disabled Services Day Training Agency
  • Urbana, OH
  • NPI 1629191416
  NPD tax ID

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1124184924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 S US HIGHWAY 68",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789470",
            "telephone_number": "937-653-5291",
            "fax_number": "937-653-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S US HIGHWAY 68",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789470",
            "telephone_number": "937-653-5291",
            "fax_number": "937-653-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHAMPAIGN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-653-5291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250400",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2684126",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655532",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellington Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica Thomas, LPN
• Bryan C Thompson, RPH
• Jodi Thompson
• Sara Thompson

• Nursing Facility/Intermediate Care Facility in Urbana, OH
• Providers in Urbana, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.