Spring Meadow Extended Care Center Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1823 Issued in OH

Legal business name

SPRING MEADOW EXTENDED CARE CENTER FACILITY INC

Practice address

1125 Clarion Ave
Holland, OH 43528-8107

Phone

(419) 866-6124

Fax

(419) 861-6996

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Philip E Witker, LNHA

Title

Administrator

Phone

(419) 866-6124

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1912988718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CLARION AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288107",
            "telephone_number": "419-866-6124",
            "fax_number": "419-861-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CLARION AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288107",
            "telephone_number": "419-866-6124",
            "fax_number": "419-861-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MEADOW EXTENDED CARE CENTER FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "WITKER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-866-6124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1823R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Sowinski, NP
• Brittany Sue Sowle
• Spencer Township
• Cynthiann Sperry-Hill, MA, LPC
• John Thomas Spillett, H.A.S.
• Spring Meadow Nursing & Rehabilitation Centre LLC
• Spring Meadow Nursing & Rehabilitation Centre LLC
• Spring Valley Dental Inc.
• Springfield Local Schools
• Springfield Township

• Skilled Nursing Facility in Holland, OH
• Providers in Holland, 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 Dec 23, 2014; 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.