Organization Active NPI

Eden Springs Nursing and Rehabilitation West LLC

  • Skilled Nursing Facility
  • Green Springs, OH
National Provider Identifier
1336690726
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0296N Issued in OH
Legal business name
EDEN SPRINGS NURSING AND REHABILITATION WEST LLC
Practice address
401 N Broadway St
Suite 225
Green Springs, OH 44836-9653
Phone
(419) 639-2626
NPI assigned
Oct 20, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Mayer Spilman
Title
Member
Phone
(347) 767-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0296N OH Primary

Addresses

Primary practice location

401 N Broadway St
Suite 225
Green Springs, OH 44836-9653

Mailing address

401 N Broadway St
Green Springs, OH 44836-9653

National Provider Directory

National Provider Directory

Locations

401 N Broadway St
Ste 225
Green Springs, OH 44836
Phone (419) 639-2626

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1336690726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST",
            "address_2": "SUITE 225",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369653",
            "telephone_number": "419-639-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN SPRINGS NURSING AND REHABILITATION WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "SPILMAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-767-2060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0296N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.