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ELMWOOD AT THE SHAWHAN LCC NPI 1134227150


NPI Information

NPI: 1134227150
Provider Name: ELMWOOD AT THE SHAWHAN, LCC

Doing Business As: ELMWOOD ASSISTED LIVING AT THE SHAWHAN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D0943394

Address:
54 S WASHINGTON ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-6885
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ELMWOOD AT THE SHAWHAN, LCC is an assisted living facility in Tiffin, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ELMWOOD AT THE SHAWHAN, LCC NPI is 1134227150. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmwood Assisted Living At The Shawhan.

The provider's business location address is:

54 S WASHINGTON ST
TIFFIN, OH
ZIP 44883-350
Phone: (419) 447-6885
Fax: (419) 447-6886

The provider's authorized official is Kathy K Hunt .
The authorized official title is Ceo and has the following contact phone number (419) 639-2581.

The CLIA number assigned to this NPI record is 36D0943394 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 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
1310400000XAssisted Living Facility5601OHIOYes

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
12242OTHEROHIOODH PROVIDER #
25601OTHEROHIORCF LICENSE #

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.