Manor Care of Westerville Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1378N Issued in OH

Legal business name

MANOR CARE OF WESTERVILLE OH LLC

Doing business as

Heartland of Uptown Westerville

Practice address

140 Old County Line Rd
Westerville, OH 43081-1002

Phone

(614) 882-1511

Fax

(614) 890-6566

NPI assigned

Jun 12, 2006

Last updated

May 30, 2017By 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

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland of Uptown Westerville Doing business as

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1295777530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD COUNTY LINE RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811002",
            "telephone_number": "614-882-1511",
            "fax_number": "614-890-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF WESTERVILLE OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1378N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2792303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Uptown Westerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Divya Manda, M.D.
• Patrick Nicholas Mangino, AU.D., F.A.A.A.
• Gibran Said Mangui, DMD
• Carlie Mankin, A.T.C.
• Jessica L Manly, CNP
• Idriss Ahmid Mansaray, RN
• Isha Anita Mansaray, LPN
• Manjula Nisata Mansaray
• Heather Mansell, ATC
• Janine Mansell, L.AC, L.M.T.

• Skilled Nursing Facility in Westerville, OH
• Providers in Westerville, 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 May 30, 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.