NPIMap

Organization Active NPI

CHI Living Communities

  • Skilled Nursing Facility
  • Sandusky, OH
National Provider Identifier
1730541905
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1957N Issued in OH
Legal business name
CHI LIVING COMMUNITIES
Doing business as
Providence Care Center
Practice address
2025 Hayes Ave
Sandusky, OH 44870-4739
Phone
(419) 627-2273
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Wendy Dolyk
Title
Vice President of Operations
Phone
(567) 455-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1957N OH Primary

Addresses

Primary practice location

2025 Hayes Ave
Sandusky, OH 44870-4739

Mailing address

2025 Hayes Ave
Sandusky, OH 44870-4739
Phone (419) 627-2273

Other names 1

  • Providence Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHI Living Communties19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1730541905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704739",
            "telephone_number": "419-627-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704739",
            "telephone_number": "419-627-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI LIVING COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "DOLYK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "567-455-0414"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1957N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.