Scioto Trails Manor

LBN: Scioto Group Home, Inc.
Scioto Trails Manor is an health care organization with primary practice located at 374 Good Manor Rd , Lucasville OH 45648-9606. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Scioto Group Home, Inc. can be contacted via phone (740) 289-2861, or through Colleran, Brian via phone (440) 614-0160.

Contact Information

Primary practice address
374 Good Manor Rd Lucasville OH 45648-9606
Phone: (740) 289-2861
Fax: (440) 289-4355
Website:
Map and Directions
Authorized official contact:
Name: Colleran, Brian
Phone: (440) 614-0160

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1740558188
LBN Legal business name Scioto Group Home, Inc.
DBA Doing business as Scioto Trails Manor
Authorized official Colleran, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Dec 23rd, 2011 - about 13 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 1740558188 NPPES
Ohio Other 6610055 DODD FACILITY NUMBER

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