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ASSISTED CARE BY BLACK STONE OF TOLEDO LLC NPI 1053965541


NPI Information

NPI: 1053965541
Provider Name: ASSISTED CARE BY BLACK STONE OF TOLEDO, LLC

Doing Business As: ASSISTED CARE BY BLACK STONE OF TOLEDO

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
4427 TALMADGE RD STE F
TOLEDO, OH
ZIP 43623
Phone: (419) 861-3333
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ASSISTED CARE BY BLACK STONE OF TOLEDO, LLC is a nursing care in Toledo, OH. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ASSISTED CARE BY BLACK STONE OF TOLEDO, LLC NPI is 1053965541. The provider is registered as an organization entity type.
The provider Is Doing Business As Assisted Care By Black Stone Of Toledo.

The provider's business location address is:

4427 TALMADGE RD STE F
TOLEDO, OH
ZIP 43623-515
Phone: (419) 861-3333
Fax: (419) 861-4444

The provider's authorized official is Nicholas Gachassin .
The authorized official title is Executive Vice President and has the following contact phone number (337) 233-1307.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 5/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10416390MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.