Kingston Care Center of Perrysburg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KINGSTON CARE CENTER OF PERRYSBURG, LLC

Practice address

345 E Boundary
Perrysburg, OH 43551

Phone

(419) 873-6100

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Larry Nirschl

Title

Treasurer of Managing Member

Phone

(419) 247-2824

Specialties & licenses 1

Addresses

Other names 1

• Kingston Rehabilitation of Perrysburg Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1669713293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 1960",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041522",
            "telephone_number": "419-247-2880",
            "fax_number": "419-247-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E BOUNDARY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-873-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON CARE CENTER OF PERRYSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "NIRSCHL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "TREASURER OF MANAGING MEMBER",
        "authorized_official_telephone_number": "419-247-2824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Rehabilitation of Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Kimmet
• Kindervater & Carroll, LLC
• Karen Ann Kindervater, M.D.
• Brielle King
• Emily King
• Katherine Maureen Kinson, DO
• Karen S Kinzig, LPC
• Molly Kathyrn Kiss
• Jeffrey B. Kistler, LPC
• KK Ambulette LLC

• Skilled Nursing Facility in Perrysburg, OH
• Providers in Perrysburg, 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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.