NPIMap

Organization Active NPI

Fountain Park Inn, Bucyrus

  • Assisted Living Facility
  • Bucyrus, OH
National Provider Identifier
1699912964
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2430R Issued in OH
Legal business name
FOUNTAIN PARK INN, BUCYRUS
Practice address
500 Wedgewood CT
Bucyrus, OH 44820-3493
Phone
(419) 562-6080
Fax
(419) 562-5080
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNTAIN PARK INN& VILLAS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mrs. Sheila Lynn Sabo
Title
Owner
Phone
(941) 270-7627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2430R OH Primary

Addresses

Primary practice location

500 Wedgewood CT
Bucyrus, OH 44820-3493

Mailing address

500 Wedgewood CT
Bucyrus, OH 44820-3493
Phone (419) 562-6080

National Provider Directory

National Provider Directory
Tax ID family
Fountain Park Riesen Center4 organizations share this tax ID, including this one
Part of
Fountain Park Riesen Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Wedgewood Ct
Bucyrus, OH 44820
Phone (419) 562-6080

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1699912964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEDGEWOOD CT",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203493",
            "telephone_number": "419-562-6080",
            "fax_number": "419-562-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEDGEWOOD CT",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203493",
            "telephone_number": "419-562-6080",
            "fax_number": "419-562-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PARK INN, BUCYRUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNTAIN PARK INN& VILLAS, LLC",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-270-7627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2430R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.