Carlton Manor Nursing & Rehabilitation Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1311N Issued in OH

Legal business name

CARLTON MANOR NURSING & REHABILITATION CENTER, INC.

Practice address

726 Rawlings St
Washington Court House, OH 43160-1518

Phone

(740) 335-7143

Fax

(740) 335-3888

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Jack Smilovitz, LNHA

Title

President

Phone

(216) 289-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1144233057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 RAWLINGS ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601518",
            "telephone_number": "740-335-7143",
            "fax_number": "740-335-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 RAWLINGS ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601518",
            "telephone_number": "740-335-7143",
            "fax_number": "740-335-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON MANOR NURSING & REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SMILOVITZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-289-4400",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1311N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Camp
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• Nicholas Andrew Chapman, DMD

• Nursing Facility/Intermediate Care Facility in Washington Court House, OH
• Providers in Washington Court House, 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 Sep 21, 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.