LONGTERM LODGING INC (WECARE HEALTH FACILITY) - NPI NUMBER 1538150362

Summary

Provider Name: LONGTERM LODGING INC (WECARE HEALTH FACILITY)

NPI Number: 1538150362

Clasification: Nursing Facility/Intermediate Care Facility (313M00000X)

Address:
740 CANONBY PL
COLUMBUS, OH
ZIP 43223

Phone Number: (614) 224-5738



Detailed Information

LONGTERM LODGING INC is a nursing facility/intermediate care facility in Columbus, OH. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. The assigned NPI number for this provider is 1538150362 and is registered as an organization entity type.
The provider Is Doing Business As Wecare Health Facility.

The provider's business address is:

740 CANONBY PL
COLUMBUS, OH
ZIP 43223-302
Phone: (614) 224-5738
Fax: (614) 224-3275

The provider's authorized official is Mary Rhinehart .
The authorized official title is President Administrator and has the following contact phone number (614) 224-0614.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 5/28/2008.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 313M00000X Nursing Facility/Intermediate Care Facility 0374303 OH No
2 314000000X Skilled Nursing Facility 366313 OH Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 6014260001 MEDICARE NSC OH
2 366313 MEDICARE ID-TYPE UNSPECIFIED OH
3 0374303 MEDICAID OH

NPI Record

No. Field Name Field Value
1 NPI 1538150362
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name LONGTERM LODGING INC
5 Provider Other Organization Name WECARE HEALTH FACILITY
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 740 CANONBY PL
8 Provider Business Practice Location Address City Name COLUMBUS
9 Provider Business Practice Location Address State Name OH
10 Provider Business Practice Location Address Postal Code 432232302
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6142245738
13 Provider Business Practice Location Address Fax Number 6142243275
14 Provider Enumeration Date 11/1/2005
15 Last Update Date 5/28/2008
16 Authorized Official Last Name RHINEHART
17 Authorized Official First Name MARY
18 Authorized Official Title or Position PRESIDENT ADMINISTRATOR
19 Authorized Official Telephone Number 6142240614
20 Healthcare Provider Taxonomy Code 1 313M00000X
21 Provider License Number 1 0374303
22 Provider License Number State Code 1 OH
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 314000000X
25 Provider License Number 2 366313
26 Provider License Number State Code 2 OH
27 Healthcare Provider Primary Taxonomy Switch 2 Y
28 Other Provider Identifier 1 6014260001
29 Other Provider Identifier Type Code 1 07
30 Other Provider Identifier State 1 OH
31 Other Provider Identifier 2 366313
32 Other Provider Identifier Type Code 2 04
33 Other Provider Identifier State 2 OH
34 Other Provider Identifier 3 0374303
35 Other Provider Identifier Type Code 3 05
36 Other Provider Identifier State 3 OH
37 Is Organization Subpart N
38 Authorized Official Name Prefix Text MS.

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This page was last updated on: 9/11/2014
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