Csji-Tiffin Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSJI-TIFFIN INC

Practice address

175 Saint Francis Ave
Tiffin, OH 44883-3457

Phone

(419) 447-2723

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

William J Slater

Title

Assistant Treasurer

Phone

(316) 689-4012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friedman Village at St Francis Doing business as

Tax ID family

Csji-Tiffin Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Csji-Tiffin Inc

  • Skilled Nursing Facility
  • Tiffin, OH
  • NPI 1467924043
  NPD tax ID

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1639734916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182008",
            "telephone_number": "316-259-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SAINT FRANCIS AVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833457",
            "telephone_number": "419-447-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSJI-TIFFIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "316-689-4012"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friedman Village at St Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Cox, RPH
• Breanna Crabtree, CDCA
• Erin Cracas, ATC
• Bonnie R Crowe, MA, LPCC
• Csji-Tiffin Inc
• Cuadra Pediatric Dentistry, LLC
• Daniela Cuadra, DDS
• Jean E Cunningham, PHARMD
• Sue Ellen Cunningham, PCCS
• Jennifer Damm

• Assisted Living Facility in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.