Villa Camillus Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1755N Issued in OH

Legal business name

VILLA CAMILLUS INC

Practice address

10515 E River Rd
Columbia Station, OH 44028-9575

Phone

(440) 236-5091

Fax

(440) 236-8909

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Schirhart

Title

Owner

Phone

(440) 236-5091

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1518084540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 E RIVER RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289575",
            "telephone_number": "440-236-5091",
            "fax_number": "440-236-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 E RIVER RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289575",
            "telephone_number": "440-236-5091",
            "fax_number": "440-236-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA CAMILLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHIRHART",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-236-5091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1755N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi Porter
• Paula Jeanne Rose, RD
• Torrie Shields, RD
• Michele M Suhie, PHD, NBC-HWC DIPACLM
• Township of Columbia Townhall
• Cheryl Ann Volk, REGISTERED NURSE
• Washburn Foot & Ankle Care
• Frank E Washburn III, DPM
• Sheryl Wertz, RN
• Vanessa White, RN

• Skilled Nursing Facility in Columbia Station, OH
• Providers in Columbia Station, 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 20, 2012; 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.