Altercare Adena, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ALTERCARE ADENA, INC.

Practice address

213 U S Route 250
Adena, OH 43901-7925

Phone

(740) 546-3620

Fax

(740) 546-4120

NPI assigned

Jan 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen R Johnson

Title

VP Finance/Controller

Phone

(330) 498-5233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515283200000",
    "number": "1417464801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST STE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8101",
            "fax_number": "330-498-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 U S ROUTE 250",
            "city": "ADENA",
            "state": "OH",
            "postal_code": "439017925",
            "telephone_number": "740-546-3620",
            "fax_number": "740-546-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERCARE ADENA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP FINANCE/CONTROLLER",
        "authorized_official_telephone_number": "330-498-5233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Adena, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.