Great Trail Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5935 Issued in OH

Legal business name

GREAT TRAIL CARE CENTER

Practice address

400 Carolyn CT
Minerva, OH 44657-8703

Phone

(330) 868-4104

Fax

(330) 868-7714

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By 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

Ms. Melissa Schmidt

Title

Administrator

Phone

(330) 868-4104

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609957901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAROLYN CT",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446578703",
            "telephone_number": "330-868-4104",
            "fax_number": "330-868-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAROLYN CT",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446578703",
            "telephone_number": "330-868-4104",
            "fax_number": "330-868-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT TRAIL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-868-4104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Feezle, SLP
• Ashlee Ann Francis
• Theodore Gallagher
• Heather Dale Gibson
• Cheryl A. Gilson, LPN
• Great Trail Care, LLC (Great Trail Care Center)
• Linda Sue Green, P.A.-C
• Cathleen Ann Harp, BACHELOR OF EDUCATIO
• Hartville Internal Medicine PA (Minerva Medical Center)
• Robin Lynn Higgins, RDH BSAH

• Skilled Nursing Facility in Minerva, OH
• Providers in Minerva, 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 Aug 22, 2020; 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.