Laurel Health Care Company of Hillsboro

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1626N Issued in OH

Legal business name

LAUREL HEALTH CARE COMPANY OF HILLSBORO

Doing business as

THE LAURELS OF HILLSBORO

Practice address

175 Chillicothe Ave
Hillsboro, OH 45133-1533

Phone

(937) 393-1925

Fax

(937) 393-3666

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anis Khan

Title

Cfo

Phone

(614) 794-8800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• THE LAURELS OF HILLSBORO Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• David J Gunderman, MD

  • Family Medicine Physician
  • Washington Court House, OH
  • NPI 1508861246
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1255387221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800",
            "fax_number": "614-794-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHILLICOTHE AVE",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331533",
            "telephone_number": "937-393-1925",
            "fax_number": "937-393-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF HILLSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1626N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1626N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF HILLSBORO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Carol Knauf, LSW
• Pamela Sue Knisley, CNP
• Kroger Limited Partnership I
• Teresa Kunce
• Lesia J Langston-McKenna, DMD
• Shelby T Lawson, INDEPENDENT PROVIDER
• Deana R Leach, LMT
• Jobeth E. B. Lee, M.D.
• Legacy Hillsboro Operating Company, LLC
• Lisa Leininger

• Skilled Nursing Facility in Hillsboro, OH
• Providers in Hillsboro, 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 Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.