FILLING MEMORIAL HOME CARDINAL NPI 1215086640

NPI Information

NPI: 1215086640
Provider Name: FILLING MEMORIAL HOME CARDINAL
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1211 CARDINAL DRIVE
BRYAN, OH
ZIP 43506
Phone: (419) 636-2369
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FILLING MEMORIAL HOME CARDINAL is an intermediate care facility mentally retarded in Bryan, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. FILLING MEMORIAL HOME CARDINAL NPI is 1215086640. The provider is registered as an organization entity type.

The provider's business location address is:

1211 CARDINAL DRIVE
BRYAN, OH
ZIP 43506
Phone: (419) 636-2369
Fax: (419) 636-2869

The provider's authorized official is Carol Cecilia Schroeder .
The authorized official title is Chief Financial Officer and has the following contact phone number (419) 592-6451.

The enumeration date for this NPI number is 1/8/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		24806	OHIO	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2361457	MEDICAID	OHIO
2	9144	OTHER	OHIO	ODH

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

NPI Synchronization or Removal

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