Active NPI
Betty Joy Luntsford
- Skilled Nursing Facility
- Toledo, OH
National Provider Identifier
1538507207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02082
- Practice address
- 7150 Granite Cir
Toledo, OH 43617-3113 - Phone
- (419) 843-6002
- Fax
- (419) 843-3036
- NPI assigned
- Jun 4, 2013
- Last updated
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02082 | OH | Primary |
Addresses
Primary practice location
7150 Granite Cir
Toledo, OH 43617-3113
Mailing address
1832 Raynor Dr
Toledo, OH 43615-3216
Phone (419) 367-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02082 | OH | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concept Rehab, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Toledo, OH
- NPI 1881834364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1538507207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 RAYNOR DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436153216",
"telephone_number": "419-367-0578",
"fax_number": "419-867-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 GRANITE CIR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436173113",
"telephone_number": "419-843-6002",
"fax_number": "419-843-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNTSFORD",
"first_name": "BETTY",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "02082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.