BMNH, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

2811 Issued in OH

Legal business name

BMNH, INC.

Doing business as

Belle Manor Nursing Home

Practice address

107 N Pike St
New Carlisle, OH 45344-1817

Phone

(937) 845-3561

Fax

(937) 845-3339

NPI assigned

Oct 7, 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

Mr. Sanford Rustin Gerber, NHA

Title

Administrator/Owner

Phone

(937) 845-3561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Belle Manor Nursing Home Doing business as

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689662348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N PIKE ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441817",
            "telephone_number": "937-845-3561",
            "fax_number": "937-845-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PIKE ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441817",
            "telephone_number": "937-845-3561",
            "fax_number": "937-845-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMNH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "RUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "937-845-3561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Skilled Nursing Facility in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Pediatric Skilled Nursing 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.