Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareTHE OHIO MASONIC HOME
Assisted Living Facility
Medina, Ohio
Provider NPI: 1144241324
Organization Information:Organization Name: THE OHIO MASONIC HOME
Practice Location:
4931 NETTLETON RD MEDINA, OH 44256 US
Tel: 330-721-3000 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:
4931 NETTLETON RD MEDINA, OH 44256 US
Tel: 330-721-3000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 6114 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 6113 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 2294093 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin