Organization Active NPI

Skillsmed Inc.

  • Skilled Nursing Facility
  • Youngstown, OH
National Provider Identifier
1457744013
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SKILLSMED INC.
Practice address
1156 W Western Reserve Rd
Youngstown, OH 44514-3542
Phone
(330) 629-2919
Fax
(330) 629-2915
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Carla Clark
Title
C.E.O.
Phone
(330) 207-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1156 W Western Reserve Rd
Youngstown, OH 44514-3542

Mailing address

1156 W Western Reserve Rd
Youngstown, OH 44514-3542
Phone (330) 629-2919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1457744013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W WESTERN RESERVE RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143542",
            "telephone_number": "330-629-2919",
            "fax_number": "330-629-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W WESTERN RESERVE RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143542",
            "telephone_number": "330-629-2919",
            "fax_number": "330-629-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLSMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "330-207-7355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.