1174517569 NPI number — AMERICAN NURSING CARE, LLC

Table of content: (NPI 1174517569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174517569 NPI number — AMERICAN NURSING CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN NURSING CARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174517569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6281 TRI RIDGE BLVD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45140-8345
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-576-0262
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1206 BRANDYWINE BLVD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZANESVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43701-1755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-452-0569
Provider Business Practice Location Address Fax Number:
740-452-3706
Provider Enumeration Date:
08/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HAWKINS
Authorized Official First Name:
JACK
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, FINANCE/CFO
Authorized Official Telephone Number:
513-576-8478

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0871785 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 412121 . This is a "PASSPORT LOCATION NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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