Boardman Skilled Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOARDMAN SKILLED NURSING, LLC

Practice address

830 Boardman Canfield Rd
Youngstown, OH 44512-4213

Phone

(216) 772-1105

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Benjamin Parsons

Title

General Counse

Phone

(216) 772-3192

Specialties & licenses 1

Addresses

Tax ID family

Boardman Skilled Nursing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boardman Skilled Nursing, LLC

  • Skilled Nursing Facility
  • Youngstown, OH
  • NPI 1295037463
  NPD tax ID

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1831563485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 ENGLE RD",
            "address_2": "STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124213",
            "telephone_number": "216-772-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN SKILLED NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GENERAL COUNSE",
        "authorized_official_telephone_number": "216-772-3192"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Youngstown, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.