NPIMap

Organization Active NPI

Roselawn Gardens Nursing & Rehabilitation, Inc.

  • Skilled Nursing Facility
  • Alliance, OH
National Provider Identifier
1609870971
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1549N Issued in OH
Legal business name
ROSELAWN GARDENS NURSING & REHABILITATION, INC.
Doing business as
Roselawn Gardens Skilled Nursing and Rehabilitation
Practice address
11999 Klinger Ave NE
Alliance, OH 44601-1116
Phone
(330) 823-0618
Fax
(330) 821-3004
NPI assigned
Jun 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Michael J Bunner
Title
President
Phone
(740) 827-0389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1549N OH Primary

Addresses

Primary practice location

11999 Klinger Ave NE
Alliance, OH 44601-1116

Mailing address

70 Park Ave W
Mansfield, OH 44902-1624
Phone (419) 529-7272

Other names 1

  • Roselawn Gardens Skilled Nursing and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1609870971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021624",
            "telephone_number": "419-529-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KLINGER AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011116",
            "telephone_number": "330-823-0618",
            "fax_number": "330-821-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAWN GARDENS NURSING & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BUNNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-827-0389"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1549N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roselawn Gardens Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.