Essex Healthcare Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1559N Issued in OH

Legal business name

ESSEX HEALTHCARE CORPORATION

Doing business as

Essex of Salem I

Practice address

2511 Bentley Dr
Salem, OH 44460-2503

Phone

(330) 337-9503

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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

Keith James Yoder

Title

Cfo

Phone

(614) 416-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Essex of Salem I Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912008434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTON OVAL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196061",
            "telephone_number": "614-416-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 BENTLEY DR",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602503",
            "telephone_number": "330-337-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-416-2662"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1559N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex of Salem I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essex Healthcare Corp (Essex of Salem III-Lab)
• Essex Healthcare Corporation (Essex of Salem III)
• Essex Healthcare Corporation (Essex of Salem II)
• Essex Healthcare Corporation (Essex of Salem 2)
• Essex Healthcare Corporation (Essex of Salem 3)
• Essex Healthcare Corporation (Essex of Salem 1)
• Calvin Caleb Evans, FNP-BC
• Melinda L Ewing, QMHS-B
• Excel Physical Therapy, Inc.
• F H Wolken Inc (Freds Family Pharmacy)

• Skilled Nursing Facility in Salem, OH
• Providers in Salem, 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.