920 South Main Street Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

920 SOUTH MAIN STREET OPERATIONS LLC

Doing business as

New Lexington Center

Practice address

920 S Main St
New Lexington, OH 43764-1552

Phone

(505) 468-4742

Fax

(505) 468-8742

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other names 1

• NEW LEXINGTON CENTER Doing business as

Locations

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1841770740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641552",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641552",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "920 SOUTH MAIN STREET OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LEXINGTON CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Abelseth, ATC
• Luana Sue Abram, L.P.N.
• Allwell Behavioral Health Services
• Nancy Sue Anders, COTA/L
• Riley Nicole Anthony

• Skilled Nursing Facility in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.