Avalon By Otterbein Perrysburg

LBN: Otterbein Perrysburg Llc
Avalon By Otterbein Perrysburg is an health care organization with primary practice located at 3529 Rivers Edge Drive , Perrysburg OH 43551. 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. Otterbein Perrysburg Llc can be contacted via phone (419) 874-2428, or through Green, James Chris via phone (513) 933-5418.

Contact Information

Primary practice address
3529 Rivers Edge Drive Perrysburg OH 43551
Fax: (419) 872-8464
Website:
Authorized official contact:
Name: Green, James Chris CPA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2480N Ohio

Profile Details

NPI number 1003939786
LBN Legal business name Otterbein Perrysburg Llc
DBA Doing business as Avalon By Otterbein Perrysburg
Authorized official Green, James Chris CPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Feb 9th, 2015 - 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 1003939786 NPPES
Ohio MEDICAID 2768107

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