Altercare of Mentor Center for Rehabilitation & Nursing Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6079 Issued in OH

Legal business name

ALTERCARE OF MENTOR CENTER FOR REHABILITATION & NURSING CARE, INC.

Practice address

9901 Johnnycake Ridge Rd
Mentor, OH 44060-6739

Phone

(440) 357-7900

NPI assigned

Feb 7, 2006

Last updated

Sep 9, 2019By 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

Ms. Kathleen R Johnson

Title

VP Finance/Controller

Phone

(330) 498-5233

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1326010943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST",
            "address_2": "SUITE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8101",
            "fax_number": "330-498-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606739",
            "telephone_number": "440-357-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERCARE OF MENTOR CENTER FOR REHABILITATION & NURSING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP FINANCE/CONTROLLER",
        "authorized_official_telephone_number": "330-498-5233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265070",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.