Stow-Glen Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1797N Issued in OH

Legal business name

STOW-GLEN INC

Practice address

4285 Kent Rd
Stow, OH 44224-4355

Phone

(330) 686-7100

Fax

(330) 686-7173

NPI assigned

Nov 4, 2005

Last updated

Mar 12, 2013By 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

Mrs. Tammy Lynn Denton, LNHA

Title

Ceo

Phone

(330) 686-7170

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dasher Retirement Village Former legal business name

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1760473961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244355",
            "telephone_number": "330-686-7100",
            "fax_number": "330-686-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244355",
            "telephone_number": "330-686-7100",
            "fax_number": "330-686-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOW-GLEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-686-7170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1797R",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1797N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580698",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME NUMBER",
            "identifier": "1797N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dasher Retirement Village",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Stow-Glen Inc. (Cherry Creek Acres)
• Stow-Glen, Inc.
• Stow-Kent Chiropractic Clinic, Inc.
• Stow-Kent Community Pharmacy,LLC (Trust and Heal Pharmacy)
• Stow-Kent Community Pharmacy,LLC (Trust and Heal Pharmacy)

• Nursing Facility/Intermediate Care Facility in Stow, OH
• Providers in Stow, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.