Scci Hospital Mansfield, Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

1426 Issued in OH

Legal business name

SCCI HOSPITAL MANSFIELD, INC

Doing business as

Kindred Hospital Central Ohio

Practice address

335 Glessner Ave
Mansfield, OH 44903-2269

Phone

(419) 526-0777

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kindred Hospital Central Ohio Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 362021

Legal name

KINDRED HOSPITAL CENTRAL OHIO

Certification status

Terminated Voluntary: merger or closure, Aug 5, 2017

Provider type (POS)

Hospital – Long-term

Participating since

Jun 1, 1999

Last certification

Jun 30, 2011

Beds

33

Ownership / control type

Private (for profit)

Most recent change of ownership

Sep 29, 2006 (1 total)

Facility address

335 Glessner Avenue, 5TH Floor
Mansfield, OH 44903

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Scci Hospitals of America, LLC

  • Long Term Care Hospital
  • Lima, OH
  • NPI 1972589000

  Member Of

  NPD member
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Greenfield, WI
  • NPI 1326099128

  Member Of

  NPD member

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1902983943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-526-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITAL MANSFIELD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000322141",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Central Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Saylor
• Ted L Sazdanoff, D.C.
• SBS Home Help, LLC
• Miranda Scaggs
• Scci Hospital Mansfield Inc
• Jacqueline Schaber
• Kristin Schaber
• Erin Caryl Schaefer, M.A.
• Susan Kay Schafer, LPN
• Melanie Kay Schaffner

• Long Term Care Hospital in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Long Term Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.