Organization Active NPI

Essex Healthcare Corporation

  • Skilled Nursing Facility
  • Saint Marys, OH
National Provider Identifier
1306947866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1933N Issued in OH
Legal business name
ESSEX HEALTHCARE CORPORATION
Practice address
1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone
(419) 394-7611
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith James Yoder
Title
Cfo
Phone
(614) 416-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1933N OH Primary

Addresses

Primary practice location

1209 Indiana Ave
Saint Marys, OH 45885-1310

Mailing address

1 Easton Oval
Suite 300
Columbus, OH 43219-6061
Phone (614) 416-0600

Other identifiers 1

IdentifierTypeStateIssuer
2026319MedicaidOH

Other names 1

  • St. Marys Living Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306947866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTON OVAL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196061",
            "telephone_number": "614-416-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 INDIANA AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851310",
            "telephone_number": "419-394-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-416-2662"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1933N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026319",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

  • 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.