Active NPI
Heartland of Marysville Oh LLC
- Skilled Nursing Facility
- Marysville, OH
National Provider Identifier
1972545283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1757N
- Legal business name
- HEARTLAND OF MARYSVILLE OH LLC
- Practice address
- 755 S Plum St
Marysville, OH 43040-1631 - Phone
- (937) 644-8836
- Fax
- (937) 644-1811
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry A Lazarus
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1757N | OH | Primary |
Addresses
Primary practice location
755 S Plum St
Marysville, OH 43040-1631
Mailing address
333 N Summit St
Attn: Barry Lazarus
Toledo, OH 43604-1531
Phone (419) 252-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2791528 | Medicaid | OH |
Other names 1
- Heartland of Marysville
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240272000000",
"number": "1972545283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN: BARRY LAZARUS",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-252-5541",
"fax_number": "419-252-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S PLUM ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401631",
"telephone_number": "937-644-8836",
"fax_number": "937-644-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND OF MARYSVILLE OH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2009-04-21",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
"authorized_official_telephone_number": "419-252-5541",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1757N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2791528",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland of Marysville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.