WAYSIDE FARM INC. is a nursing facility intermediate care facility in Peninsula, 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. WAYSIDE FARM INC. NPI is 1306870738. The provider is registered as an organization entity type.
The provider Is Doing Business As Wayside Farm Nursing And Rehab Center.
The provider's business location address is:
4557 QUICK RD
PENINSULA, OH
ZIP 44264-708
Phone: (330) 923-7828
Fax: (330) 923-1201
The provider's authorized official is Matthew W. Pool .
The authorized official title is Assistant Administrator and has the following contact phone number (330) 923-7828.
The CLIA number assigned to this NPI record is 36D2195011 - other - group home with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.