Marietta Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1270N Issued in OH

Legal business name

MARIETTA HEALTHCARE, LLC

Doing business as

Marietta Center

Practice address

117 Bartlett St
Marietta, OH 45750-2683

Phone

(740) 373-1867

NPI assigned

Aug 22, 2006

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

OHIO HOLDINGS I LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marietta Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1184730913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BARTLETT ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502683",
            "telephone_number": "740-373-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BARTLETT ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502683",
            "telephone_number": "740-373-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO HOLDINGS I LLC",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1270N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271625",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marietta Gynecologic Associates, Inc.
• Marietta Health and Wellness Center LLC
• Marietta Health Care Physicians, Inc
• Marietta Health Care Physicians, Inc.
• Marietta Health Care Systems, Inc. (Physicians Care of Marietta)
• Marietta Home Health and Hospice, L.L.C. (Marietta Home Health and Hospice, an Amedisys Partner)
• Marietta Home Health and Hospice, L.L.C. (Marietta Home Health and Hospice, an Amedisys Partner)
• Marietta Imaging Inc
• Marietta Medical LTD
• Marietta Memorial Hospital

• Skilled Nursing Facility in Marietta, OH
• Providers in Marietta, 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 May 17, 2016; 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.