Great Trail Care, LLC
Organization Active NPI Skilled Nursing Facility · Minerva, OH
NPI 1437212628 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1437212628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GREAT TRAIL CARE, LLC
- Practice address
- 400 Carolyn CT
Minerva, OH 44657-8703 - Phone
- (330) 868-4104
- Fax
- (330) 868-7714
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
400 Carolyn CT
Minerva, OH 44657-8703
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007303 | Medicaid | OH |
Other names
- Great Trail Care Center
Other providers in Minerva, OH
- Ashlee Ann Francis
- Theodore Gallagher
- Heather Dale Gibson
- Cheryl A. Gilson
- Great Trail Care Center
- Linda Sue Green
- Cathleen Ann Harp
- Hartville Internal Medicine PA
- Robin Lynn Higgins
- Karen S Hines
All providers in Minerva, 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 Feb 25, 2008. 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.