Organization Active NPI

East Liverpool Convalescent Center, Inc

  • Skilled Nursing Facility
  • East Liverpool, OH
National Provider Identifier
1619963980
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1542 Issued in OH
Legal business name
EAST LIVERPOOL CONVALESCENT CENTER, INC
Practice address
701 Armstrong LN
East Liverpool, OH 43920-1284
Phone
(330) 385-5212
Fax
(330) 385-8566
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mrs. Janice L. Bowden, L.N.H.A.
Title
Ceo/Owner
Phone
(330) 385-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1542 OH Primary

Addresses

Primary practice location

701 Armstrong LN
East Liverpool, OH 43920-1284

Mailing address

701 Armstrong LN
East Liverpool, OH 43920-1284
Phone (330) 385-5212

Other identifiers 1

IdentifierTypeStateIssuer
0272682MedicaidOH

Other names 1

  • Adkins 2 Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1619963980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ARMSTRONG LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439201284",
            "telephone_number": "330-385-5212",
            "fax_number": "330-385-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ARMSTRONG LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439201284",
            "telephone_number": "330-385-5212",
            "fax_number": "330-385-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIVERPOOL CONVALESCENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "330-385-3600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adkins 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.