NPIMap

Organization Active NPI

Extendicare

  • Nursing Facility/Intermediate Care Facility
  • Toledo, OH
National Provider Identifier
1467662650
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OTA3005 Issued in OH
Legal business name
EXTENDICARE
Practice address
7120 Port Sylvania Dr
Toledo, OH 43617-1158
Phone
(419) 841-2200
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Kris Parrish, OTR
Title
FRC
Phone
(419) 841-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OTA3005 OH Primary

Addresses

Primary practice location

7120 Port Sylvania Dr
Toledo, OH 43617-1158

Mailing address

7120 Port Sylvania Dr
Toledo, OH 43617-1158
Phone (419) 841-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1467662650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 PORT SYLVANIA DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171158",
            "telephone_number": "419-841-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 PORT SYLVANIA DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171158",
            "telephone_number": "419-841-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "FRC",
        "authorized_official_telephone_number": "419-841-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "OTA3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.