Concord Care Center of Toledo, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5643 Issued in OH

Legal business name

CONCORD CARE CENTER OF TOLEDO, INC.

Practice address

3121 Glanzman Rd
Toledo, OH 43614-3802

Phone

(419) 385-6616

Fax

(419) 389-5101

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Debra A Ifft, CPA

Title

Ceo

Phone

(330) 759-2357

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Concord Care Center of Toledo Inc.

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1740364322
  NPPES parent name

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1679564900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 GLANZMAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143802",
            "telephone_number": "419-385-6616",
            "fax_number": "419-389-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 GLANZMAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143802",
            "telephone_number": "419-385-6616",
            "fax_number": "419-389-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CARE CENTER OF TOLEDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "IFFT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-2357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109560",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NPI",
            "identifier": "1740364322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000311536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Comte, PHARMD, RPH
• Concept 3000 Dental Inc
• Concept Rehab, Inc
• Concertohealth of Ohio LLC
• Concord Care Center of Toledo Inc.
• Miranda Confer
• Suzan Kay Conger, CDCA
• Mary Anne Conklin Reynolds, M.D.
• Emily Conklin
• Michelle Leigh Conklin, PCPNP

• Skilled Nursing Facility in Toledo, OH
• Providers in Toledo, 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 Jul 12, 2007; 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.