Thi of Ohio at Northwestern LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6298 Issued in OH

Legal business name

THI OF OHIO AT NORTHWESTERN LLC

Doing business as

Northwestern Center

Practice address

570 N Rocky River Dr
Berea, OH 44017-1613

Phone

(440) 243-2122

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By 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

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwestern Center Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275562407",
    "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": "570 N ROCKY RIVER DR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171613",
            "telephone_number": "440-243-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT NORTHWESTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Compassion Practice
• Kathleen Theobald, QMHS, CMS
• Carol Therens, LPTA
• Shannon Theus, LISW
• Thi of Ohio at Berea LLC (Berea Center)
• David Lashore Thomas
• Amanda Pamala Thompson
• Donee Timms
• Timothy Bennet, DDS, LLC
• Danielle Titgemeier

• Skilled Nursing Facility in Berea, OH
• Providers in Berea, 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 Aug 22, 2020; 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.