Western Reserve Masonic Community
LBN: The Ohio Masonic Home
Western Reserve Masonic Community is an health care organization with primary practice located at 4931 Nettleton Rd , Medina OH 44256-3232. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
The Ohio Masonic Home can be contacted via phone (330) 721-3000, or through Buchanan, Scott via phone (937) 525-4975.
Contact Information
Primary practice address
4931 Nettleton Rd
Medina OH 44256-3232
Phone: (330) 721-3000
Fax: (330) 721-3279
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 6114 | Ohio |
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 6113 | Ohio |
Profile Details
NPI number | 1144241324 |
---|---|
LBN Legal business name | The Ohio Masonic Home |
DBA Doing business as | Western Reserve Masonic Community |
Authorized official | Buchanan, Scott |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 22nd, 2006 |
Last updated | Feb 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144241324 | NPPES |
Ohio | MEDICAID | 2294093 |
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