The Ohio Eastern Star Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

190 Issued in OH

Legal business name

THE OHIO EASTERN STAR HOME, INC

Practice address

1451 Gambier Rd
Mount Vernon, OH 43050-9112

Phone

(740) 397-1706

Fax

(740) 392-1662

NPI assigned

Jul 18, 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. Zandra Leigh Smith, LNHA

Title

Ceo/Administrator

Phone

(740) 397-1706

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669471264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 GAMBIER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509112",
            "telephone_number": "740-397-1706",
            "fax_number": "740-392-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GAMBIER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509112",
            "telephone_number": "740-397-1706",
            "fax_number": "740-392-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OHIO EASTERN STAR HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "740-397-1706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME NUMBER",
            "identifier": "1037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alix Junior Tercius, M.D.
• Catherine Ann Terry, LSW
• Samuel Joseph Tharp
• Sheri Lee Tharp, NP-C
• The Kroger Co (Kroger Pharmacy)
• The Station Break
• The Village Network
• Carolyn Alanna Thomas, OD
• Sonya Thomas
• Cindy K. Thompson, LPCC

• Nursing Facility/Intermediate Care Facility in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Nursing Facility/Intermediate Care 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.