FILLING MEMORIAL HOME EGLY (NPI# 1053460485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053460485 |
| Entity Type | Organization |
| Organization Name | FILLING MEMORIAL HOME EGLY |
| Practice Address |
101 Egly Drive West Unity OH 43570-9533 |
| Mailing Address |
N 160 Sb 108 Napoleon OH 43545-9363 |
| Practice Telephone | 4199242806 |
| Practice Fax Number | 4199242806 |
| Mailing Telephone | 4195926451 |
| Mailing Fax Number | 4195995178 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CAROL CECILIA SCHROEDER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4195926451 |
| Authorized Official Credential | MBOL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 24432 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ODH | 9222 | 01 | |
| OH | 0361439 | 05 |
| Street Address |
101 EGLY DRIVE |
| City | WEST UNITY |
| State | OH |
| Zip Code | 43570-9533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043497 | Melinda Seibert | Community Health Worker | 338 S Main, West Unity, OH 43570 | 2014-08-13 |
| 1164772463 | Timothy Scherer | Contractor | 411 S. Liberty St., West Unity, OH 43570 | 2012-09-13 |
| 1619097060 | Midwest Community Health Associates | Family Medicine | 222 West Jackson Street, West Unity, OH 43570 | 2007-03-30 |
| 1083738611 | Kim Rene Clifton | Home Health Aide | 25686 County Road L, West Unity, OH 43570 | 2007-03-19 |
| 1255469698 | Charles W. Klinger | Pharmacist | 102 W. Jackson St., West Unity, OH 43570 | 2007-02-28 |
| 1922181965 | Aarx,llc | Pharmacy | 102 W Jackson St, West Unity, OH 43570 | 2006-10-23 |
| 1336187095 | Virgil N Carrico | Family Medicine | 222 W Jackson Street, West Unity, OH 43570 | 2006-06-03 |
| 1770519498 | Edwin L St John | Chiropractor | 113 E Jackson St, West Unity, OH 43570-0242 | 2006-06-24 |
| 1982711537 | Thomas Ross Cromwell | Dentist | 105 N. Main, West Unity, OH 43570-0407 | 2006-08-23 |
| 1265047377 | Merrilee Salsberry | Non-emergency Medical Transport (VAN) | 703 W Jackson St, West Unity, OH 43570-9427 | 2020-09-15 |
| Find all providers in zip 43570 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNITY |
| Zip Code | 43570 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.