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AMHERST MANOR INC. NPI 1598755951


NPI Information

NPI: 1598755951
Provider Name: AMHERST MANOR, INC.
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 36D0333547

Address:
175 N LAKE ST
AMHERST, OH
ZIP 44001
Phone: (440) 988-4415
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AMHERST MANOR, INC. is a skilled nursing facility in Amherst, OH. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. AMHERST MANOR, INC. NPI is 1598755951. The provider is registered as an organization entity type.

The provider's business location address is:

175 N LAKE ST
AMHERST, OH
ZIP 44001-332
Phone: (440) 988-4415
Fax: (440) 988-5612

The provider's authorized official is Kenneth Malanowski .
The authorized official title is President and has the following contact phone number (440) 989-5200.

The CLIA number assigned to this NPI record is 36D0333547 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 6/9/2015.


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
1314000000XSkilled Nursing Facility0416-HNOHIOYes

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
10158887MEDICAIDOHIO
2000000357003OTHEROHIOANTHEM OT
30536650001MEDICARE NSCOHIO
4000000357004OTHEROHIOANTHEM ST
5000000356999OTHEROHIOANTHEM PT
6=========002OTHEROHIOMEDICAL MUTUAL
7365924MEDICARE ID-TYPE UNSPECIFIEDOHIOADMINASTAR
8000000156340OTHEROHIOANTHEM

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: 11/14/2023

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