Coal Grove Long Term Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3734 Issued in OH

Legal business name

COAL GROVE LONG TERM CARE, INC

Doing business as

Sunset Nursing Center

Practice address

813 1/2 Marion Pike
Coal Grove, OH 45638-3070

Phone

(740) 532-0449

Fax

(740) 532-7141

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Michael Scharfenberger, LNHA

Title

Exec. Vice President

Phone

(513) 793-8804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunset Nursing Center Doing business as

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1295719771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 KENWOOD RD",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364414",
            "telephone_number": "513-793-8804",
            "fax_number": "513-793-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 1/2 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383070",
            "telephone_number": "740-532-0449",
            "fax_number": "740-532-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL GROVE LONG TERM CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SCHARFENBERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT",
        "authorized_official_telephone_number": "513-793-8804",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8581075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina L Christian, LPN.112021.MEDS
• Emily Christian, CDCA.184182
• Nicholas Christian, CMS
• Elizabeth Clift, PRS
• Coal Grove Dental
• Coal Grove Pharmacy Inc
• Jennifer Rebecca Conley, LISW
• Emillie Crank, PMHNP
• Crystal Care of Ironton, LLC (Crystal Care of Coal Grove)
• Christopher S Davis, LSW

• Skilled Nursing Facility in Coal Grove, OH
• Providers in Coal Grove, 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 25, 2010; 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.