Thi of Ohio at Village Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF OHIO AT VILLAGE CENTER, LLC

Doing business as

Village Care Center

Practice address

925 Wagner Ave
Galion, OH 44833-1535

Phone

(419) 468-1090

Fax

(419) 468-5101

NPI assigned

Oct 7, 2006

Last updated

Nov 21, 2007By 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

Lee Edson

Title

President

Phone

(419) 468-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Care Center Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1376630566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WAGNER AVE",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331535",
            "telephone_number": "419-468-1090",
            "fax_number": "419-468-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT VILLAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "EDSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-468-1090"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Gail Taylor, CNP
• Stephanie Kaye Taylor, LPN
• Ramanda Thacker
• Ashley Annette Thames, FNP-C
• Thi of Ohio at Rosewood Manor, LLC (Rosewood Manor)
• Thomas G Fellner DDS, Inc.
• Elizabeth Ruth Thompson, LPN IV
• Tonya L Phillips, DDS, LLC
• Angela Marie Trumble-Sites, NURSE
• Zedingil Tadesse Tsegaye

• Skilled Nursing Facility in Galion, OH
• Providers in Galion, 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 Nov 21, 2007; 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.