Carlisle Manor Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3134 Issued in OH

Legal business name

CARLISLE MANOR HEALTH CARE, INC.

Practice address

730 Hillcrest Ave
Carlisle, OH 45005-3305

Phone

(937) 746-2662

Fax

(937) 746-8204

NPI assigned

Jul 14, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abe Wagschal

Title

President/Owner

Phone

(937) 746-2662

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174521967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HILLCREST AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053305",
            "telephone_number": "937-746-2662",
            "fax_number": "937-746-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HILLCREST AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053305",
            "telephone_number": "937-746-2662",
            "fax_number": "937-746-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE MANOR HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGSCHAL",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-746-2662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "3134",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care First Transportation, LLC
• Carlisle Clinic LLC
• Carlisle Health Care
• Carlisle Health Care Inc (Carlisle Manor Health Care)
• Carlisle Local School District
• Carlisle Pharmacy LLC
• Ciara Chamberlain
• Glenda Dean
• Ronald Glenn Elliott, CO/ LO
• Kathy Michele Folan

• Skilled Nursing Facility in Carlisle, OH
• Providers in Carlisle, 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 Aug 22, 2020; 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.