Personacare of Ohio, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5868 Issued in OH

Legal business name

PERSONACARE OF OHIO, INC.

Practice address

70 Normandy Dr
Painesville, OH 44077-1616

Phone

(440) 357-1311

Fax

(440) 357-1299

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1154409993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 NORMANDY DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771616",
            "telephone_number": "440-357-1311",
            "fax_number": "440-357-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONACARE OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMPENSATION",
            "identifier": "341708824-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07-00754",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Letitia Patrizi, OTR/L
• Katie N Payne
• Maureen Pengov
• Jamie Marie Perry
• Martia Perry, RN, BSN
• Emily Pestello
• Mackenzie Pestotnik
• Maria Petrasko
• Jeanette Jay Petro
• Michelle Pham, MA, CCC-SLP

• Skilled Nursing Facility in Painesville, OH
• Providers in Painesville, 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 Oct 19, 2017; 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.