Sanctuary Medina LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1828N Issued in OH

Legal business name

SANCTUARY MEDINA LLC

Practice address

555 Springbrook Dr
Medina, OH 44256-3651

Phone

(330) 725-3393

Fax

(330) 722-0850

NPI assigned

Aug 18, 2015

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hayley B Williams

Title

Attorney

Phone

(216) 706-3936

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1942676556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393",
            "fax_number": "330-722-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393",
            "fax_number": "330-722-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY MEDINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1828N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142884",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Marie Salazar, NP-C
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• Aaron Sanderson
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• Eleni Santarelli, AUD
• Catherine Santori, RN
• Karamjot Sarai, DMD

• Skilled Nursing Facility in Medina, OH
• Providers in Medina, 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 May 9, 2016; 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.