Active NPI
Kindred Nursing Centers East LLC
- Skilled Nursing Facility
- Logan, OH
National Provider Identifier
1457514622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1687
- Legal business name
- KINDRED NURSING CENTERS EAST LLC
- Practice address
- 300 Arlington Ave
Logan, OH 43138-1708 - Phone
- (740) 385-2155
- Fax
- (740) 385-1789
- NPI assigned
- Jul 8, 2008
- Organization subpart
- Yes
- Parent organization
- KINDRED HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arthur L Rothgerber
- Title
- Sr Vice President of Reimbursement
- Phone
- (502) 596-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1687 | OH | Primary |
Addresses
Primary practice location
300 Arlington Ave
Logan, OH 43138-1708
Mailing address
300 Arlington Ave
Logan, OH 43138-1708
Phone (740) 385-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2540307 (FOR OXYGEN) | Medicaid | OH |
Other names 1
- Logan Health Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Kindred Nursing Centers East LLC
- Part of
- Presence Covenant Medical Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1457514622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ARLINGTON AVE",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381708",
"telephone_number": "740-385-2155",
"fax_number": "740-385-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ARLINGTON AVE",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381708",
"telephone_number": "740-385-2155",
"fax_number": "740-385-1789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED NURSING CENTERS EAST LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINDRED HEALTHCARE INC",
"enumeration_date": "2008-07-08",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "ROTHGERBER",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SR VICE PRESIDENT OF REIMBURSEMENT",
"authorized_official_telephone_number": "502-596-7300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540307 (FOR OXYGEN)",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Logan Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.