NPIMap

Organization Active NPI

LTAC Investors LLC

  • Long Term Care Hospital
  • Wintersville, OH
National Provider Identifier
1932335239
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
1493 Issued in OH
Legal business name
LTAC INVESTORS LLC
Practice address
200 School Street
Wintersville, OH 43953-9620
Phone
(740) 346-2600
Fax
(740) 346-2602
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mrs. Susan Colpo
Title
Ceo
Phone
(740) 346-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 1493 OH Primary

Addresses

Primary practice location

200 School Street
Wintersville, OH 43953-9620

Mailing address

200 School Street
Wintersville, OH 43953-9620
Phone (740) 346-2600

Other identifiers 3

IdentifierTypeStateIssuer
3036753MedicaidOH
3130785MedicaidOH
3810018429MedicaidWV

Other names 1

  • Life Line Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 360357

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIFE LINE HOSPITAL
Certification status
Terminated Other: provider status change, Aug 1, 2010
Provider type (POS)
Hospital – Short-term
Participating since
Mar 26, 2010
Last certification
Mar 26, 2010
Beds
36
Ownership / control type
Private (not for profit)
Facility address
200 School Street
Wintersville, OH 43953

Hospital certification: CCN 362039

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIFE LINE HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Feb 1, 2019
Provider type (POS)
Hospital – Long-term
Participating since
Aug 1, 2010
Last certification
Aug 1, 2010
Beds
36
Ownership / control type
Private (not for profit)
Facility address
200 School Street
Wintersville, OH 43953

National Provider Directory

National Provider Directory

Locations

6730 N West Ave
Ste 109
Fresno, CA 93711

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1932335239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHOOL STREET",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439539620",
            "telephone_number": "740-346-2600",
            "fax_number": "740-346-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCHOOL STREET",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439539620",
            "telephone_number": "740-346-2600",
            "fax_number": "740-346-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTAC INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "COLPO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-346-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036753",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130785",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018429",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Line Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.