Heartland-Lansing of Bridgeport Oh LLC
Organization Active NPI Skilled Nursing Facility · Bridgeport, OH
NPI 1679515183 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1679515183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1750N (OH)
- Legal business name
- HEARTLAND-LANSING OF BRIDGEPORT OH LLC
- Practice address
- 68222 Commercial Dr
Bridgeport, OH 43912-1520 - Phone
- (740) 635-4600
- Fax
- (740) 635-1723
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry A Lazarus
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5541
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1750N | OH | Yes |
Addresses
Primary practice location
68222 Commercial Dr
Bridgeport, OH 43912-1520
Mailing address
333 N Summit St
Attn: Barry Lazarus
Toledo, OH 43604-1531
Phone (419) 252-5541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2792125 | Medicaid | OH |
Other names
- Heartland - Lansing
Other providers in Bridgeport, OH
- Greta Gazda-Roe
- Jamie Gellner
- Stacey Lynette Guthrie
- Blair Elizabeth Hamilton
- Sarah Amelia Hamilton
- Shawn M Henry
- Tiffanie M Henry
- Christine Marie Herink
- Raelan Brielle Hoops
- Madison Howard
All providers in Bridgeport, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.