St. Mary of the Woods

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2439N Issued in OH

Legal business name

ST. MARY OF THE WOODS

Practice address

35755 Detroit Rd
Avon, OH 44011-1689

Phone

(440) 937-3111

Fax

(440) 937-2738

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Bailey

Title

Executive Director

Phone

(440) 937-3111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1346268166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35755 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35755 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111689",
            "telephone_number": "440-937-3111",
            "fax_number": "440-937-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY OF THE WOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-937-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2439N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2439N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanae Soos, LSW
• Kacey May Spallinger, LPC
• Ava Spataro, LPCC
• Alana Spencer, DPT
• Carrie Rhai Sprenger
• Stags Family Chiropractic Corp
• Nicholee Stamm
• Rebecca N Starck, MD
• Geoffrey Louis Stefko, D.D.S.
• Thomas Michael Steigerwalt, D.C.

• Skilled Nursing Facility in Avon, OH
• Providers in Avon, 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 Jun 14, 2012; 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.