Provider Type Icon

ERIE SHORES REHABILITATION LLC NPI 1083832539


NPI Information

NPI: 1083832539
Provider Name: ERIE SHORES REHABILITATION, LLC
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
1069 US HIGHWAY 224
NOVA, OH
ZIP 44859
Phone: (419) 652-2219
Get Directions

ERIE SHORES REHABILITATION, LLC is a contractor in Nova, OH. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). ERIE SHORES REHABILITATION, LLC NPI is 1083832539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1069 US HIGHWAY 224
NOVA, OH
ZIP 44859-770
Phone: (419) 652-2219
Fax: (419) 652-2219

The provider's authorized official is Matthew David Mitchell .
The authorized official title is President and has the following contact phone number (419) 652-2219.

The enumeration date for this NPI number is 4/22/2007 and was last updated on 8/22/2020.


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
1171W00000XContractorYes
2225100000XPhysical TherapistX
3225X00000XOccupational TherapistX
4235Z00000XSpeech-Language PathologistX

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.