Autumn Court Operating Company, Llc

LBN: Autumn Court Operating Company, Llc
Autumn Court Operating Company, Llc is an health care organization with primary practice located at 1925 E 4Th St , Ottawa OH 45875-1540. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Autumn Court Operating Company, Llc can be contacted via phone (419) 523-4370, or through Hazelbaker, R. Brian via phone (949) 499-3311.

Contact Information

Primary practice address
1925 E 4Th St Ottawa OH 45875-1540
Phone: (419) 523-4370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hazelbaker, R. Brian
Phone: (949) 499-3311

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1295351682
LBN Legal business name Autumn Court Operating Company, Llc
DBA Doing business as
Authorized official Hazelbaker, R. Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2020
Last updated Jun 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295351682 NPPES
Ohio Other 1543N LICENSURE

Popular Providers