Defiance Healthcare and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEFIANCE HEALTHCARE AND REHABILITATION CENTER LLC

Doing business as

Defiance Healthcare and Rehabilitation Center

Practice address

395 Harding St
Defiance, OH 43512-1315

Phone

(419) 784-1450

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Jason Dipasqua

Title

Coo

Phone

(330) 720-0406

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Defiance Healthcare and Rehabilitation Center Doing business as
• SKLD Defiance Former legal business name

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1154087856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ANTHONY WAYNE TRL",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661516",
            "telephone_number": "330-720-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HARDING ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121315",
            "telephone_number": "419-784-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-720-0406"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1711N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defiance Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Defiance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Defiance Chiropractic Center, Inc.
• Defiance City School District
• Defiance County Board of DD
• Defiance County General Health District
• Defiance Dialysis Center, LTD.
• Defiance Hearing Aid Center, Inc.
• Defiance Hospital
• Defiance Hospital Inc
• Defiance Hospital Inc.
• Defiance Hospital Inc.

• Skilled Nursing Facility in Defiance, OH
• Providers in Defiance, 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 Nov 17, 2021; 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.