Thi of Ohio at Greenbriar North LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6288 Issued in OH

Legal business name

THI OF OHIO AT GREENBRIAR NORTH LLC

Practice address

8064 South Ave
Boardman, OH 44512-6153

Phone

(330) 726-3700

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenbriar Center Doing business as

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851320154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 SOUTH AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126153",
            "telephone_number": "330-726-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT GREENBRIAR NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbriar Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assyria Thigpen
• Carolyn D Thomas
• Dylan Thomas
• Jessica M Thomas, DPT
• Lauren Lee Thomas, AU.D.

• Skilled Nursing Facility in Boardman, OH
• Providers in Boardman, 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 22, 2020; 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.