Med-Systems of Franklin Furnace, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1179 Issued in OH

Legal business name

MED-SYSTEMS OF FRANKLIN FURNACE, LLC

Practice address

4734 Gallia Pike
Franklin Furnace, OH 45629-8600

Phone

(419) 512-1711

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael L Daffin

Title

Coo

Phone

(419) 526-0124

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountainhead Nursing Home Doing business as

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1477895662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298600",
            "telephone_number": "419-526-0124",
            "fax_number": "419-522-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298600",
            "telephone_number": "419-512-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SYSTEMS OF FRANKLIN FURNACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "DAFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "419-526-0124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081291",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountainhead Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayna Lowman
• Darren Michael Martin, LPTA
• Tyler David Massie
• Brittney McComis, LPN
• McKenna Healthcare of Franklin Furnace Inc.
• Heather Meyers
• Amy Marie Miller, OTR/L
• Jasmine Nicole Monk
• Leslie Moore
• Thomas Alan Moyer Jr.

• Skilled Nursing Facility in Franklin Furnace, OH
• Providers in Franklin Furnace, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.