Southeastern Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2978 Issued in OH

Legal business name

SOUTHEASTERN HEALTH CARE CENTER, INC.

Doing business as

Barnesville Health Care Center

Practice address

400 Carrie Ave
Barnesville, OH 43713-1317

Phone

(740) 425-3648

Fax

(740) 425-4075

NPI assigned

Aug 9, 2005

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

Mrs. Lisa R. Crowe, LNHA

Title

Administrator

Phone

(740) 425-3648

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barnesville Health Care Center Doing business as

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619978053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CARRIE AVE",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131317",
            "telephone_number": "740-425-3648",
            "fax_number": "740-425-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARRIE AVE",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131317",
            "telephone_number": "740-425-3648",
            "fax_number": "740-425-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-425-3648",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnesville Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhishek Shahi, M.B.B.S. (M.D.)
• Penelope (Penny) Dawn Shepherd, LPCC/S
• Angela Maria Smith, LPN
• Hope Marie Smith, STNA
• Pratap Kumar Souri, MD
• Cassandra Jayne Stephen
• Brian Steward
• Cynthia Street
• Sushil K Mehrotra MD Inc
• Alisa Swallie, LPN

• Skilled Nursing Facility in Barnesville, OH
• Providers in Barnesville, 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.