Alk Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1413 Issued in OH

Legal business name

ALK INC.

Doing business as

Wintersong Village

Practice address

478 S Sandusky St
Delaware, OH 43015-2623

Phone

(740) 369-8741

Fax

(740) 363-8359

NPI assigned

May 24, 2005

Last updated

Mar 2, 2012By 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. Charles John Summers, LNHA

Title

Ceo

Phone

(740) 369-8741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wintersong Village Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1174526149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 S SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152623",
            "telephone_number": "740-369-8741",
            "fax_number": "740-363-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 S SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152623",
            "telephone_number": "740-369-8741",
            "fax_number": "740-363-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-369-8741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372010",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wintersong Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Delaware, OH
• Providers in Delaware, 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 Mar 2, 2012; 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.