NORTH SHORE RETIREMENT COMMUNITY (NPI# 1760605000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760605000 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE RETIREMENT COMMUNITY |
| Other Organization Name | OTTERBEIN NORTH SHORE RETIREMENT LIVING COMMUNITY |
| Practice Address |
9400 E Northshore Blvd Lakeside OH 43440-1337 |
| Practice Telephone | 4197988203 |
| Practice Fax Number | 4197984662 |
| Mailing Telephone | 4197988203 |
| Mailing Fax Number | 4197984662 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | JAMES CHRIS GREEN (TREASURER & CFO) |
| Authorized Official Telephone | 5139335418 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | NA | OH | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2057N | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Otterbein North Shore Retirement Living Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588227995 | North Shore Retirement Community | Assisted Living Facility | 9400 North Shore Boulevard, Lakeside, OH 43440-1337 | 2019-04-22 |
| Street Address |
9400 E NORTHSHORE BLVD |
| City | LAKESIDE |
| State | OH |
| Zip Code | 43440-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194122168 | Linda Terry | Home Health Aide | 9350 E Miami Ave, Box455, Marblehead, OH 43440 | 2014-11-19 |
| 1265527865 | Steven Peter Jackson | Family Medicine | 1297 W Main St, Marblehead, OH 43440 | 2006-10-03 |
| 1164072468 | Michelle Ann Laney | Licensed Practical Nurse | 98 Gravel Bar Rd, Marblehead, OH 43440-1076 | 2019-09-18 |
| 1497840086 | Allison Lea Holzaepfel | Registered Nurse | 9451 E Harbor Rd, Marblehead, OH 43440-1310 | 2006-10-03 |
| 1114555174 | Jeffrey Bryan Wright | Behavior Technician | 9451 E Harbor Rd, Marblehead, OH 43440-1310 | 2020-03-27 |
| 1457910051 | Danbury Counseling Services | Behavior Technician | 9451 E Harbor Rd, Marblehead, OH 43440-1310 | 2019-06-07 |
| 1407274376 | Martha Mielke | Speech-Language Pathologist | 9451 E Harbor Rd, Lakeside Marblehead, OH 43440-1310 | 2014-03-28 |
| 1265783138 | April Michele Wright | Counselor | 9451 E Harbor Rd, Marblehead, OH 43440-1310 | 2012-10-02 |
| 1184925067 | Danbury Local School District | Local Education Agency (LEA) | 9451 E Harbor Rd, Lakeside Marblehead, OH 43440-1310 | 2010-11-09 |
| 1588227995 | North Shore Retirement Community | Assisted Living Facility | 9400 North Shore Boulevard, Lakeside, OH 43440-1337 | 2019-04-22 |
| Find all providers in zip 43440 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| 1790789170 | Ghc of Lakeside, LLC | Skilled Nursing Facility | 11962 Woodside Ave, Lakeside, CA 92040-2914 | 2005-06-13 |
| 1447657994 | Haven of Lakeside LLC | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2014-11-28 |
| 1568882991 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2014-04-24 |
| 1073894598 | Lwn Medical Pllc | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1508492174 | Majestic Care of Paulding LLC | Skilled Nursing Facility | 199 Road 103, Paulding, OH 45879-8776 | 2020-03-16 |
| 1548890338 | Trilogy Healthcare of Gahanna, LLC | Skilled Nursing Facility | 748 Taylor Rd, Gahanna, OH 43230-3203 | 2020-01-21 |
| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
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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.