Southbrook Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6219 Issued in OH

Legal business name

SOUTHBROOK HEALTH CARE CENTER, INC.

Practice address

2299 S Yellow Springs St
Springfield, OH 45506-3221

Phone

(937) 322-3436

Fax

(937) 322-2470

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Harold Sosna

Title

Owner

Phone

(513) 561-4105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHBROOK CARE CENTER Doing business as

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1932198710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 SOUTH YELLOW SPRINGS STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45506",
            "telephone_number": "937-322-3436",
            "fax_number": "937-322-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 S YELLOW SPRINGS ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455063221",
            "telephone_number": "937-322-3436",
            "fax_number": "937-322-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBROOK HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "SOSNA",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-561-4105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2319566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHBROOK CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHBROOK CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carley Sontag
• Adam Sorensen, LPCC-S
• Jenae Sosebee
• Sound Inpatient Physicians of Ohio, LLC
• South Charleston Medical Center
• Southern Ohio Emergency Physicians LLP
• Debra Sparks
• Jeremy Sparks
• Rachel Sparks, OTR/L
• Lori Ann Spaulding

• Skilled Nursing Facility in Springfield, OH
• Providers in Springfield, 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 14, 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.