Organization Active NPI

Olmsted Manor Skilled Nursing

Doing business as Olmsted Manor - Laboratory

  • Clinical Medical Laboratory
  • North Olmsted, OH
National Provider Identifier
1750544813
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0908934 Issued in OH
Legal business name
OLMSTED MANOR SKILLED NURSING
Doing business as
Olmsted Manor - Laboratory
Practice address
27500 Mill Rd
North Olmsted, OH 44070-3115
Phone
(440) 777-8444
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
J&R ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Bob Nemetz
Title
Controller
Phone
(440) 250-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0908934 OH Primary

Addresses

Primary practice location

27500 Mill Rd
North Olmsted, OH 44070-3115

Mailing address

27500 Mill Rd
North Olmsted, OH 44070-3115
Phone (440) 777-8444

Other names 1

  • Olmsted Manor - Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0908934Olmsted Manor Skilled Nursing Center27500 Mill Road, North Olmsted, OH 44070Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Joshua Tree Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1750544813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 MILL RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703115",
            "telephone_number": "440-777-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 MILL RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703115",
            "telephone_number": "440-777-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED MANOR SKILLED NURSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&R ASSOCIATES",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NEMETZ",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "440-250-4080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0908934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olmsted Manor - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.