Active NPI
48 St Lawrence Opco LLC
Doing business as Tiffin Rehabilitation Center
- Skilled Nursing Facility
- Tiffin, OH
National Provider Identifier
1497599906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 48 ST LAWRENCE OPCO LLC
- Doing business as
- Tiffin Rehabilitation Center
- Practice address
- 48 St Lawrence Dr
Tiffin, OH 44883-8310 - Phone
- (567) 207-2300
- NPI assigned
- Jun 20, 2024
- Last updated
- Jun 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Schaffer
- Title
- Managing Member
- Phone
- (567) 207-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
48 St Lawrence Dr
Tiffin, OH 44883-8310
Mailing address
60 Hempstead Ave Ste 3005
West Hempstead, NY 11552-2148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2713N | Other | OH | LICENSURE |
Other names 1
- Tiffin Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1497599906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HEMPSTEAD AVE STE 3005",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ST LAWRENCE DR",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448838310",
"telephone_number": "567-207-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "48 ST LAWRENCE OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "SCHAFFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "567-207-2300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "2713N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tiffin Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.