Active NPI
Eden Springs Healthcare Center LLC
- Long Term Care Hospital
- Green Springs, OH
National Provider Identifier
1396290136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- EDEN SPRINGS HEALTHCARE CENTER LLC
- Practice address
- 401 N. Broadway St
Green Springs, OH 44836-9653 - Phone
- (419) 639-2626
- NPI assigned
- Aug 22, 2016
- Last updated
- Oct 6, 2016
- 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
- Mayer Spilman
- Title
- Member
- Phone
- (347) 767-2060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | NU | Primary |
Addresses
Primary practice location
401 N. Broadway St
Green Springs, OH 44836-9653
Mailing address
401 N Broadway St
Green Springs, OH 44836-9653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396290136. Details of each certification follow.
Hospital certification: CCN 362007
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EDEN SPRINGS HEALTHCARE CENTER LLC
- Certification status
- Terminated Voluntary: merger or closure, Feb 7, 2019
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jul 1, 1966
- Last certification
- May 7, 2009
- Beds
- 36
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Aug 26, 2016 (2 total)
- Facility address
- 401 North Broadway Street
Green Springs, OH 44836
National Provider Directory
National Provider DirectoryLocations
401 N Broadway St
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": "1471824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1396290136",
"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",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369653",
"telephone_number": "419-639-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN SPRINGS HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-22",
"last_updated": "2016-10-06",
"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": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "NU",
"license": null,
"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 Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.