Heartland of Madeira Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1296N Issued in OH

Legal business name

HEARTLAND OF MADEIRA OH LLC

Doing business as

Heartland of Madeira

Practice address

5970 Kenwood Rd
Madeira, OH 45243-2930

Phone

(513) 561-4111

Fax

(513) 561-1496

NPI assigned

Jun 9, 2006

Last updated

Feb 7, 2008By 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

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland of Madeira Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1871534834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 KENWOOD RD",
            "city": "MADEIRA",
            "state": "OH",
            "postal_code": "452432930",
            "telephone_number": "513-561-4111",
            "fax_number": "513-561-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF MADEIRA OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1296N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Madeira",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah L Dobelhoff, OTR/L MED
• Sawyer Alexander Ezzell, PHARMD
• Katelyn Fleischman, O.D.
• Christie Leigh Francia, O.D.
• Mary Gallenstein
• Frederick A Heiselman, DDS
• Keith Jackson
• William Jackson
• Kroger Limited Partnership I (Kroger Pharmacy)
• Robert M Letscher, MD

• Skilled Nursing Facility in Madeira, OH
• Providers in Madeira, 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 Feb 7, 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.