Kingston Nursing Home LTD

Organization Active NPI Skilled Nursing Facility · Kingston, OH

NPI 1376530972 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376530972
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
5322 (OH)
Legal business name
KINGSTON NURSING HOME LTD
Practice address
38 W 3Rd St
Kingston, OH 45644
Phone
(740) 642-2503
Fax
(740) 642-3656
NPI assigned
Sep 29, 2005
Organization subpart
No

Authorized official

Name
Mrs. Tracy R Robertson
Title
Corp. Office Executive Assistant
Phone
(419) 526-0124

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5322 OH Yes

Addresses

Primary practice location

38 W 3Rd St
Kingston, OH 45644

Mailing address

PO Box 477
Kingston, OH 45644-0477
Phone (740) 642-2503

Other identifiers

IdentifierTypeStateIssuer
0460273MedicaidOH

Other names

  • KINGSTON HEALTH CARE CENTER Doing business as

Other providers in Kingston, OH

All providers in Kingston, OH · Skilled Nursing Facility in Ohio

Sources for this page

Verify at the official NPI Registry.