ELMWOOD OF FREMONT LTD. NPI 1841801347

NPI Information

NPI: 1841801347
Provider Name: ELMWOOD OF FREMONT, LTD.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D0941280

Address:
1545 FANGBONER RD
FREMONT, OH
ZIP 43420
Phone: (419) 332-6533
Get Directions

ELMWOOD OF FREMONT, LTD. is an assisted living facility in Fremont, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ELMWOOD OF FREMONT, LTD. NPI is 1841801347. The provider is registered as an organization entity type.

The provider's business location address is:

1545 FANGBONER RD
FREMONT, OH
ZIP 43420-128
Phone: (419) 332-6533
Fax: (419) 332-6535

The provider's authorized official is Kathy Kay Hunt .
The authorized official title is Managing Member and has the following contact phone number (419) 332-3378.

The CLIA number assigned to this NPI record is 36D0941280 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 8/10/2020.

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	311500000X	Alzheimer Center (Dementia Center)				No
2	310400000X	Assisted Living Facility				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	2707931	MEDICAID	OHIO

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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