Perrysburg Healthcare and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PERRYSBURG HEALTHCARE AND REHABILITATION CENTER LLC

Practice address

28546 Starbright Blvd
Perrysburg, OH 43551-4686

Phone

(419) 666-0935

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Jason Dipasqua

Title

Coo

Phone

(330) 720-0406

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Perrysburg Healthcare and Rehabilitation Center Doing business as
• SKLD Perrysburg Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irshad I Hasan, MD

  • Family Medicine Physician
  • Rossford, OH
  • NPI 1891771184
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1508522202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ANTHONY WAYNE TRL",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661516",
            "telephone_number": "330-720-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28546 STARBRIGHT BLVD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514686",
            "telephone_number": "419-666-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-720-0406"
    },
    "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": "1791N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perrysburg Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Perrysburg",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Perrysburg Exempted Village School District
• Perrysburg Eye Center, Inc.
• Perrysburg Eye Center, Inc.
• Perrysburg Family Physicians LLC
• Perrysburg Ft Meigs Family Practice
• Perrysburg Hearing Center LLC
• Perrysburg Oh Health & Rehab Opco LLC
• Perrysburg Podiatry Associates LLC
• Perrysburg SNF Healthcare LLC
• Perrysburg SNF, LLC

• Skilled Nursing Facility in Perrysburg, OH
• Providers in Perrysburg, 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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.