Thi of Ohio at Heritage, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF OHIO AT HERITAGE, LLC

Doing business as

Heritage Care Center

Practice address

100 Rogers LN
Shelby, OH 44875-1759

Phone

(419) 347-1313

Fax

(419) 347-4863

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Fred Rowe

Title

President

Phone

(419) 347-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Care Center Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1225125404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROGERS LN",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751759",
            "telephone_number": "419-347-1313",
            "fax_number": "419-347-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT HERITAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-347-1313"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410484",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deeanna Tanner
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• Third Street Community Clinic Inc (Shelby Health and Wellness Center)
• Third Street Community Clinic, Inc
• Stacy S Thomas, LPN

• Skilled Nursing Facility in Shelby, OH
• Providers in Shelby, 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 Nov 21, 2007; 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.