Brewster Convalescent Center

LBN: Brewster Parke, Inc.
Brewster Convalescent Center is an health care organization with primary practice located at 264 Mohican St Ne , Brewster OH 44613-1126. 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. Brewster Parke, Inc. can be contacted via phone (330) 767-4179, or through Childs, John S. via phone (330) 767-4179.

Contact Information

Primary practice address
264 Mohican St Ne Brewster OH 44613-1126
Phone: (330) 767-4179
Fax: (330) 767-3907
Website:
Map and Directions
Authorized official contact:
Name: Childs, John S. LNHA
Phone: (330) 767-4179

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1482N Ohio

Profile Details

NPI number 1114921756
LBN Legal business name Brewster Parke, Inc.
DBA Doing business as Brewster Convalescent Center
Authorized official Childs, John S. LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 30th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114921756 NPPES
Ohio MEDICAID 0321655

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