Organization Active NPI

County of Putnam

Doing business as The Meadows at Putnam Acres

  • Skilled Nursing Facility
  • Ottawa, OH
National Provider Identifier
1609821396
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COUNTY OF PUTNAM
Doing business as
The Meadows at Putnam Acres
Practice address
10170 Road 5H
Ottawa, OH 45875-9715
Phone
(419) 523-4092
Fax
(419) 523-0021
NPI assigned
May 23, 2006
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Paul Plevyak
Title
Sr. Vice President
Phone
(502) 213-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10170 Road 5H
Ottawa, OH 45875-9715

Mailing address

10170 Road 5H
Ottawa, OH 45875-9715
Phone (419) 523-4092

Other identifiers 1

IdentifierTypeStateIssuer
0254862MedicaidOH

Other names 1

  • The Meadows at Putnam Acres Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1609821396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 ROAD 5H",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458759715",
            "telephone_number": "419-523-4092",
            "fax_number": "419-523-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 ROAD 5H",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458759715",
            "telephone_number": "419-523-4092",
            "fax_number": "419-523-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PUTNAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "PLEVYAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "502-213-1710"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows at Putnam Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.