Organization Active NPI

Mansfield Health Care Center, LTD

  • Skilled Nursing Facility
  • Mansfield, OH
National Provider Identifier
1154318814
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5533 Issued in OH
Legal business name
MANSFIELD HEALTH CARE CENTER, LTD
Practice address
73 Madison Rd
Mansfield, OH 44905-2830
Phone
(419) 526-0124
Fax
(419) 522-4391
NPI assigned
Sep 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mrs. Tracy R Robertson
Title
Administrative Assistant
Phone
(419) 526-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5533 OH Primary

Addresses

Primary practice location

73 Madison Rd
Mansfield, OH 44905-2830

Mailing address

73 Madison Rd
Mansfield, OH 44905-2830
Phone (419) 526-0124

Other identifiers 1

IdentifierTypeStateIssuer
2706168MedicaidOH

Other names 1

  • TWIN OAKS CARE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1154318814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MADISON RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052830",
            "telephone_number": "419-526-0124",
            "fax_number": "419-522-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MADISON RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052830",
            "telephone_number": "419-526-0124",
            "fax_number": "419-522-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD HEALTH CARE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "419-526-0124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2706168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN OAKS CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.