Conard House Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CONARD HOUSE ASSISTED LIVING

Practice address

71 Blymyer Ave
Mansfield, OH 44903-2344

Phone

(419) 774-5160

Fax

(419) 774-9481

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MANSFIELD MEMORIAL HOMES, INCAs reported in NPPES

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

Authorized official

Name

Jerome O'Neal, N/A

Title

Lnha/Administrator

Phone

(419) 860-3208

Specialties & licenses 1

Addresses

Part of

Mansfield Memorial Homes Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mansfield Memorial Homes, Inc

  • Skilled Nursing Facility
  • Mansfield, OH
  • NPI 1821018649
  NPPES parent name

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1518796564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BLYMYER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032344",
            "telephone_number": "419-774-5160",
            "fax_number": "419-774-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BLYMYER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032344",
            "telephone_number": "419-774-5160",
            "fax_number": "419-774-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONARD HOUSE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANSFIELD MEMORIAL HOMES, INC",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "LNHA/ADMINISTRATOR",
        "authorized_official_telephone_number": "419-860-3208",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.