THE OHIO EASTERN STAR HOME, INC - NPI 1669471264 - Nursing Facility/Intermediate Care Facility in Mount Vernon, OH

Q: What is The Ohio Eastern Star Home, Inc's NPI number?

The NPI number for The Ohio Eastern Star Home, Inc is 1669471264. It was assigned to this organization in the NPPES registry on July 18, 2005.

Q: What is The Ohio Eastern Star Home, Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About The Ohio Eastern Star Home, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE OHIO EASTERN STAR HOME, INC (NPI 1669471264) is a healthcare organization registered as a nursing facility/intermediate care facility in Mount Vernon, Ohio and active in the NPI registry since July 2005. The organization lists Zandra Leigh Smith, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1669471264

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameTHE OHIO EASTERN STAR HOME, INC

Location Address1451 GAMBIER RDMount Vernon, OH 43050-9112

Mailing Address1451 Gambier RdMount Vernon, OH 43050-9112 · (740) 397-1706 · Fax (740) 392-1662

Phone(740) 397-1706

Fax(740) 392-1662

Organization SubpartNo

Authorized OfficialZandra Leigh SmithCeo/administrator · (740) 397-1706

Enumeration DateJuly 18, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1669471264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OH · 190

Definition

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.

1451 GAMBIER RD, Mount Vernon, OH 43050

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Other Identifiers 1

Other1037OH · Home Number

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENE WILLARD LYBARGER

Physical Therapy Assistant