Wellington Manor Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

36E851 Issued in OH

Legal business name

WELLINGTON MANOR NURSING HOME INC

Practice address

116 Prospect St
Wellington, OH 44090-1228

Phone

(440) 647-3910

Fax

(440) 647-4332

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kay Justice, LNHA RN

Title

Owner Administrator President

Phone

(440) 647-2259

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932276615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440900393",
            "telephone_number": "440-647-2259",
            "fax_number": "440-647-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PROSPECT ST",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901228",
            "telephone_number": "440-647-3910",
            "fax_number": "440-647-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "440-647-2259",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "36E851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9318858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Wallace I, R.N.
• Weber Health Care Center, Inc.
• Wellington Estates Inc (St Charles/St James Place)
• Wellington Estates Inc (Boardwalk & Parkplace)
• Wellington Exempted Village School District
• Laura Joyce White
• Whitney Home Care, LLC
• Shana Danielle Williams
• Judith Wilson, LPN
• Heather Amanda Wingard, CNP

• Nursing Facility/Intermediate Care Facility in Wellington, OH
• Providers in Wellington, OH by specialty
• Nursing Facility/Intermediate Care 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.