Newark NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0390N Issued in OH

Legal business name

NEWARK NH LLC

Practice address

17 Forry St
Newark, OH 43055-4004

Phone

(740) 345-9197

NPI assigned

Jan 31, 2015

Organization subpart

No

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

Authorized official

Name

Ronald J Swartz

Title

Vice President and Cfo

Phone

(813) 635-9500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Newark Hills Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1407246200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FORRY ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554004",
            "telephone_number": "740-345-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FORRY ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554004",
            "telephone_number": "740-345-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2555R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0390N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119287",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Hills Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newark Family Dentistry
• Newark Family Eye Care LLC
• Newark Health Imaging
• Newark Intergraded Healthcare LLC
• Newark Leasing, LLC
• Newark Oncology
• Newark Opco LLC
• Newark Optometry LLC
• Newark Orthodontic Center - Jiafeng Gu, DDS, Ms, LLC
• Newark Orthopaedics,Inc.

• Skilled Nursing Facility in Newark, OH
• Providers in Newark, 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 Sep 3, 2015; 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.