EDGEWOOD MANOR OF LUCASVILLE II
NPI 1790721983
Skilled Nursing Facility in Lucasville, OH

Active since June 22, 2006
10098A BIG BEAR CREEK ROAD, LUCASVILLE, OH 45648(740) 259-2351(740) 259-9061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Manor Of Lucasville Ii NPPES

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

EDGEWOOD MANOR OF LUCASVILLE II (NPI 1790721983) is a healthcare organization registered as a skilled nursing facility in Lucasville, Ohio and active in the NPI registry since June 2006. The organization lists Joseph Conte, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790721983
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTANDEM HEALTH CARE OF LUCASVILLE II, INC.
Location Address10098A BIG BEAR CREEK ROADLucasville, OH 45648-0789
Mailing Address800 Concourse Pkwy S, Suite 200Maitland, FL 32751-6148 · (407) 571-1550 · Fax (407) 571-1599
Fax(740) 259-9061
Organization SubpartNo
Authorized OfficialJoseph ConteChief Operating Officer · (407) 571-1550
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1790721983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 0685N
Definition
(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.
10098A BIG BEAR CREEK ROAD, Lucasville, OH 45648

Other Names 1

Doing Business AsEdgewood Manor Of Lucasville Ii

Other Identifiers 1

Medicaid2148769OH

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
10098A BIG BEAR CREEK ROAD
LUCASVILLE, OH 45648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tandem Health Care Of Lucasville II, Inc.'s NPI number?

The NPI number for Tandem Health Care Of Lucasville II, Inc. is 1790721983. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Edgewood Manor Of Lucasville II.

Where is Tandem Health Care Of Lucasville II, Inc. located?

Tandem Health Care Of Lucasville II, Inc. is located at 10098A Big Bear Creek Road, Lucasville, OH 45648. The listed phone number is (740) 259-2351.

What is Tandem Health Care Of Lucasville II, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Tandem Health Care Of Lucasville II, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.