Holzer Senior Care Center

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

N/A IN OHIO

Legal business name

HOLZER SENIOR CARE CENTER

Practice address

380 Colonial Dr
Bidwell, OH 45614-9215

Phone

(740) 446-5001

Fax

(740) 446-5101

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

William Crabtree

Title

Vice President Finance

Phone

(740) 288-0192

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Holzer Senior Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holzer Senior Care Center

  • Skilled Nursing Facility
  • Bidwell, OH
  • NPI 1275524480
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney B. Stout, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Gallipolis, OH
  • NPI 1184668253
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1205924685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 COLONIAL DR",
            "city": "BIDWELL",
            "state": "OH",
            "postal_code": "456149215",
            "telephone_number": "740-446-5001",
            "fax_number": "740-446-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 COLONIAL DR",
            "city": "BIDWELL",
            "state": "OH",
            "postal_code": "456149215",
            "telephone_number": "740-446-5001",
            "fax_number": "740-446-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZER SENIOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "740-288-0192"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": "N/A IN OHIO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139693",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Michael Curry, NP-C
• Cindy Eads, RN
• Erin Victoria Ellis, PT, DPT
• Michael David Francis II, DNP, APRN-CNP
• Kristie Grimes
• Holzer Senior Care Center
• Dorothy Hurt
• Kendra Justice, OTR/L
• Destiny Renee Lemley
• Alyssa Lollathin

• Parenteral & Enteral Nutrition Supplies (DME) in Bidwell, OH
• Providers in Bidwell, OH by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.