The Laurels Of Shane Hill

LBN: The Laurels Of Rockford, Inc.
The Laurels Of Shane Hill is an health care organization with primary practice located at 10731 State Route 118 , Rockford OH 45882-8947. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. The Laurels Of Rockford, Inc. can be contacted via phone (419) 363-2620, or through Patton, Timothy via phone (614) 794-8800.

Contact Information

Primary practice address
10731 State Route 118 Rockford OH 45882-8947
Fax: (419) 363-2354
Website:
Authorized official contact:
Name: Patton, Timothy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 5801 Ohio

Profile Details

NPI number 1952483455
LBN Legal business name The Laurels Of Rockford, Inc.
DBA Doing business as The Laurels Of Shane Hill
Authorized official Patton, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Oct 5th, 2007 - about 18 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 1952483455 NPPES
Ohio Other 7105594 UNITED HEALTH CARE ID #
Ohio Other 5801 UNITED HEALTH CARE ID #
Ohio MEDICAID 2165286 UNITED HEALTH CARE ID #
Ohio Other 000000253127 UNITED HEALTH CARE ID #

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