Edgerton Long Term Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3591 Issued in OH

Legal business name

EDGERTON LONG TERM CARE, INC.

Practice address

328 W Vine St
Edgerton, OH 43517-9600

Phone

(419) 298-2321

Fax

(419) 298-2476

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Scharfenberger, LNHA

Title

Executive Vice President

Phone

(513) 793-8804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park View Nursing Center Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1912995176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 KENWOOD RD",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364400",
            "telephone_number": "513-793-8804",
            "fax_number": "513-793-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W VINE ST",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435179600",
            "telephone_number": "419-298-2321",
            "fax_number": "419-298-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHARFENBERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "513-793-8804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park View Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Howard J Aube, D.D.S. INC
• John Stanley Casbere, DC
• Community Memorial Hospital
• Dream Haven LLC
• Edgerton Local SD
• Heidi Ann Foster-Johnson, L.I.S.W.
• Rebecca Dee Hand
• Patricia Hartman
• Richard Lowell Hurley
• Cynthia Lynn Jones

• All providers in Edgerton, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.