Organization Active NPI

Swan Pointe Facility Operations LLC

  • Skilled Nursing Facility
  • Maumee, OH
National Provider Identifier
1619985157
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SWAN POINTE FACILITY OPERATIONS LLC
Practice address
3600 Butz Rd
Maumee, OH 43537-9691
Phone
(419) 867-7926
Fax
(419) 868-3515
NPI assigned
Aug 3, 2006
Organization subpart
Yes
Parent organization
CONSULATE HEALTH CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Joseph Conte
Title
Chief Executive Officer
Phone
(407) 571-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3600 Butz Rd
Maumee, OH 43537-9691

Mailing address

800 Concourse Pkwy S
Suite 200
Maitland, FL 32751-6148
Phone (407) 571-1550

Other identifiers 1

IdentifierTypeStateIssuer
2708074MedicaidOH

Other names 1

  • Addison Heights Health and Rehabilitation Center 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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1619985157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BUTZ RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379691",
            "telephone_number": "419-867-7926",
            "fax_number": "419-868-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN POINTE FACILITY OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSULATE HEALTH CARE, LLC",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2708074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Heights Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.