Organization Active NPI

Korto Sulongteh-Nelson, LLC

  • Skilled Nursing Facility
  • Akron, OH
National Provider Identifier
1669836359
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
COA 14717 Issued in OH
Legal business name
KORTO SULONGTEH-NELSON, LLC
Practice address
1841 Fairlawn Knolls Dr
Akron, OH 44313-5435
Phone
(330) 310-6812
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Korto Sulongteh-Nelson, NURSE PRACTITIONERNPI 1174956833
Title
Owner
Phone
(330) 310-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X COA 14717 OH Primary

Addresses

Primary practice location

1841 Fairlawn Knolls Dr
Akron, OH 44313-5435

Mailing address

1841 Fairlawn Knolls Dr
Akron, OH 44313-5435
Phone (330) 310-6812

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1669836359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 FAIRLAWN KNOLLS DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135435",
            "telephone_number": "330-310-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 FAIRLAWN KNOLLS DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135435",
            "telephone_number": "330-310-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORTO SULONGTEH-NELSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "SULONGTEH-NELSON",
        "authorized_official_first_name": "KORTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-310-6812",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "COA 14717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.