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PROMEDICA CONTINUING CARE SERVICES CORP NPI 1144283979


NPI Information

NPI: 1144283979
Provider Name: PROMEDICA CONTINUING CARE SERVICES CORP

Doing Business As: GOERLICH CENTER

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization
Address:
5320 HARROUN RD
SYLVANIA, OH
ZIP 43560
Phone: (419) 824-1250
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PROMEDICA CONTINUING CARE SERVICES CORP is an alzheimer center dementia center in Sylvania, OH. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. PROMEDICA CONTINUING CARE SERVICES CORP NPI is 1144283979. The provider is registered as an organization entity type.
The provider Is Doing Business As Goerlich Center.

The provider's business location address is:

5320 HARROUN RD
SYLVANIA, OH
ZIP 43560-114
Phone: (419) 824-1250

The provider's authorized official is Gladeen Roberts .
The authorized official title is President and has the following contact phone number (419) 824-5660.

The enumeration date for this NPI number is 4/11/2006 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
1311500000XAlzheimer Center (Dementia Center)Yes

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
12600395MEDICAIDOHIO

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

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