Main Street Care Center

LBN: Lorain Manor, Inc.
Main Street Care Center is an health care organization with primary practice located at 500 Community Drive , Avon Lake OH 44012. 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. Lorain Manor, Inc. can be contacted via phone (440) 930-6600, or through Sprenger, Mark via phone (440) 989-5234.

Contact Information

Primary practice address
500 Community Drive Avon Lake OH 44012
Fax: (440) 930-1801
Website:
Authorized official contact:
Name: Sprenger, Mark

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0763 Ohio

Profile Details

NPI number 1710977376
LBN Legal business name Lorain Manor, Inc.
DBA Doing business as Main Street Care Center
Authorized official Sprenger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Aug 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710977376 NPPES
Ohio MEDICAID 0423090
Ohio MEDICAID 2726189
Ohio Other 000000156480
Ohio Other 000000357006
Ohio Other 000000357010
Ohio Other 000000357011

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