Samaritan Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0434 Issued in OH

Legal business name

SAMARITAN CARE CENTER INC

Practice address

806 E Washington St
Medina, OH 44256-2128

Phone

(330) 725-4123

Fax

(330) 723-2412

NPI assigned

Aug 31, 2005

Last updated

May 21, 2008By 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

Dr. Robert C Banasik, PHD

Title

President

Phone

(614) 299-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1689668063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8309",
            "address_2": "1207 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010309",
            "telephone_number": "614-299-3100",
            "fax_number": "614-299-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562128",
            "telephone_number": "330-725-4123",
            "fax_number": "330-723-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BANASIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-299-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875825",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Medina, OH
• Providers in Medina, 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 May 21, 2008; 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.