Mount Vernon NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2630N Issued in OH

Legal business name

MOUNT VERNON NH LLC

Doing business as

Mount Vernon Health and Rehabilitation Center

Practice address

1135 East Gambier Street
Mount Vernon, OH 43050

Phone

(740) 392-1099

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Ronald J Swartz

Title

Vice President and Cfo

Phone

(813) 635-9500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mount Vernon Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1962892661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 EAST GAMBIER STREET",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-392-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EAST GAMBIER STREET",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-392-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2426R",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2253R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2630N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mount Vernon Elderly Services LLC (Country Club Center II)
• Mount Vernon Eye Care
• Mount Vernon Eyecare LLC
• Mount Vernon Family Practice Inc
• Mount Vernon Homehealthcare, LLC
• Mount Vernon Opco LLC (Mount Vernon Health Care Center)
• Mount Vernon Recovery Inc
• Mount Vernon Surgical Care Inc.
• Cassandra Rose Mowery
• Kevan Mowery, QMHS

• Skilled Nursing Facility in Mount Vernon, OH
• Providers in Mount Vernon, 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 Sep 21, 2015; 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.