ST. JOSEPH CARE CENTER
Assisted Living Facility
Louisville, Ohio
Provider NPI: 1952300113
Organization Information:Organization Name: ST. JOSEPH CARE CENTER
Practice Location:
2308 RENO DR LOUISVILLE, OH 44641 US
Tel: 330-875-5562 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2308 RENO DR LOUISVILLE, OH 44641 US
Tel: 330-875-5562 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | OH | 5432 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 4986 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 5432 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0298735 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin