Volunteers of America Care Facilities

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6106 Issued in OH

Legal business name

VOLUNTEERS OF AMERICA CARE FACILITIES

Doing business as

Lost Creek Care Center

Practice address

804 S Mumaugh Rd
Lima, OH 45804-3569

Phone

(419) 225-9040

Fax

(419) 225-9292

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nancy Gavin

Title

Assistant Secretary/Treasurer

Phone

(952) 941-0305

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lost Creek Care Center Doing business as

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1912922584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 OFFICE RIDGE CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443690",
            "telephone_number": "952-941-0305",
            "fax_number": "952-941-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S MUMAUGH RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043569",
            "telephone_number": "419-225-9040",
            "fax_number": "419-225-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA CARE FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY/TREASURER",
        "authorized_official_telephone_number": "952-941-0305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0532454",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000157634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lost Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lost Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vision Center of Lima, LLC
• Vitae Health Medical Ohio LLC
• Kelly Voice, OTR/L
• Marianne Ruth Voigt, APRN-CNM
• Michael Vollmar, LICDC
• Douglas Patrick Vondrell
• Heidi Vonstein, RN
• Kristy Ann Vore, RPH
• Kavin Vrid
• Joe Wade

• Skilled Nursing Facility in Lima, OH
• Providers in Lima, 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 5, 2021; 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.