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STOW-GLEN INC NPI 1760473961


NPI Information

NPI: 1760473961
Provider Name: STOW-GLEN INC

Former Legal Business Name: DASHER RETIREMENT VILLAGE

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
4285 KENT RD
STOW, OH
ZIP 44224
Phone: (330) 686-7100
Get Directions

STOW-GLEN INC is a nursing facility intermediate care facility in Stow, 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. STOW-GLEN INC NPI is 1760473961. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dasher Retirement Village.

The provider's business location address is:

4285 KENT RD
STOW, OH
ZIP 44224-355
Phone: (330) 686-7100
Fax: (330) 686-7173

The provider's authorized official is Tammy Lynn Denton .
The authorized official title is Ceo and has the following contact phone number (330) 686-7170.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/12/2013.


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
1310400000XAssisted Living Facility1797ROHIONo
2313M00000XNursing Facility/Intermediate Care Facility1797NOHIOYes

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
10580698MEDICAIDOHIO
21797NOTHEROHIONURSING HOME NUMBER
3366278MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE NUMBER

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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