Thi of Ohio at Imperial, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF OHIO AT IMPERIAL, LLC

Doing business as

Imperial Skilled Care Center

Practice address

4121 Tod Ave NW
Warren, OH 44485-1258

Phone

(330) 898-3702

Fax

(330) 898-6280

NPI assigned

Oct 7, 2006

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilyn Shaffer

Title

President

Phone

(330) 898-3702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Imperial Skilled Care Center Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1598852782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 TOD AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851258",
            "telephone_number": "330-898-3702",
            "fax_number": "330-898-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT IMPERIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-898-3702"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Tamarkin Company (Giant Eagle Pharmacy 1419)
• The Tamarkin Company (Giant Eagle Pharmacy 4051)
• The Tamarkin Company (Giant Eagle Pharmacy 4056)
• The Vein Center of Northeast Ohio, LTD
• Thi of Ohio at Horizon Village, LLC (Horizon Village Nursing and Rehabilitation Center)
• Thomas D Kraft PHD Inc
• Thomas M. Grischow, O.D., Inc. (Howland Eye Center)
• Thomas R Neuman MD LLC
• Barbara Thomas, PT
• Chanel R Thomas

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, 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 21, 2007; 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.