Jackson Ridge Rehabilitation And Care

LBN: Gaslite Leasing, Llc
Jackson Ridge Rehabilitation And Care is an health care organization with primary practice located at 7055 High Mill Ave. Nw , Canal Fulton OH 44614. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Gaslite Leasing, Llc can be contacted via phone (216) 854-4545, or through Gunzburg, Eli M. via phone (440) 658-1040.

Contact Information

Primary practice address
7055 High Mill Ave. Nw Canal Fulton OH 44614
Phone: (216) 854-4545
Fax: (866) 629-9730
Website:
Map and Directions
Authorized official contact:
Name: Gunzburg, Eli M. LNHA
Phone: (440) 658-1040

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Ohio
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Ohio

Profile Details

NPI number 1366796161
LBN Legal business name Gaslite Leasing, Llc
DBA Doing business as Jackson Ridge Rehabilitation And Care
Authorized official Gunzburg, Eli M. LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2012
Last updated Dec 30th, 2014 - about 10 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 1366796161 NPPES
Ohio MEDICAID 0076444
Ohio Other 366271

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