CHS - Lake Erie, Inc
Organization Active NPI Skilled Nursing Facility · Fostoria, OH
NPI 1407831738 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1407831738
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1374-NH (OH)
- Legal business name
- CHS - LAKE ERIE, INC
- Practice address
- 25 Christopher Dr
Fostoria, OH 44830-3318 - Phone
- (419) 435-8112
- Fax
- (419) 435-0334
- NPI assigned
- Dec 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Wanda Jean Rice
- Title
- Ceo
- Phone
- (513) 682-2700
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- CHS - Lake Erie Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1374-NH | OH | Yes |
Addresses
Primary practice location
25 Christopher Dr
Fostoria, OH 44830-3318
Mailing address
8200 Beckett Park Dr
Hamilton, OH 45011-8955
Phone (513) 682-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2339400 | Medicaid | OH |
Other names
- St. Catherine's Care Center of Fostoria
Other providers in Fostoria, OH
- James Sydney Byatt
- Alexis Cain
- Chasity Carnicom
- Samantha L Carson
- Jaime Christie
- CHS Lake Erie Inc
- Laura A Clouse
- Danielle Rene' Cook
- Antonio Costello
- Monica Lisa Cross
All providers in Fostoria, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.