Active NPI
County of Lorain Ohio
- Skilled Nursing Facility
- Amherst, OH
National Provider Identifier
1336187368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COUNTY OF LORAIN OHIO
- Practice address
- 45999 N Ridge Rd
Amherst, OH 44001-1779 - Phone
- (440) 988-2322
- Fax
- (440) 988-2932
- NPI assigned
- Jun 3, 2006
- Last updated
- May 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeri Dull, N.H.A.
- Title
- Nursing Home Administrator
- Phone
- (440) 988-2322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
45999 N Ridge Rd
Amherst, OH 44001-1779
Mailing address
PO Box 190
Amherst, OH 44001-0190
Phone (440) 988-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700745 | Medicaid | OH |
Other names 1
- Golden Acres Lorain County Nursing Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1336187368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "AMHERST",
"state": "OH",
"postal_code": "440010190",
"telephone_number": "440-988-2322",
"fax_number": "440-988-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45999 N RIDGE RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011779",
"telephone_number": "440-988-2322",
"fax_number": "440-988-2932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LORAIN OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "DULL",
"authorized_official_first_name": "JERI",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "440-988-2322",
"authorized_official_credential": "N.H.A."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700745",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Acres Lorain County Nursing Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amherst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.