Twin Pines Retreat Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6126 Issued in OH

Legal business name

TWIN PINES RETREAT CARE CENTER

Practice address

8720 E Market St
Suite 1-B
Warren, OH 44484-2364

Phone

(330) 856-6000

Fax

(330) 856-6150

NPI assigned

Oct 12, 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. W Scot Phillips

Title

Financial Operations Officer

Phone

(330) 856-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689662835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 E MARKET ST",
            "address_2": "SUITE 1-B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842364",
            "telephone_number": "330-856-6000",
            "fax_number": "330-856-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 E MARKET ST",
            "address_2": "SUITE 1-B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842364",
            "telephone_number": "330-856-6000",
            "fax_number": "330-856-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PINES RETREAT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS OFFICER",
        "authorized_official_telephone_number": "330-856-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaysha Tucker, LPN
• Mario Turner
• Lea Nicole Tursack, LPN
• Stephanie T Turuck, LPN
• Todd Michael Tuttle
• Tiffany Tye
• Gaye Tyhosky, RN
• U1St
• U1St Foundation
• John David Ulam, PT

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, 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 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.