HERITAGE CORNER THERAPY, LLC (NPI# 1861754640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861754640 |
Entity Type | Organization |
Organization Name | HERITAGE CORNER THERAPY, LLC |
Practice Address |
1069 Klotz Rd Bowling Green OH 43402-4828 |
Practice Telephone | 4197287010 |
Mailing Telephone | 4197287010 |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-07-12 |
Authorized Official Name | MARK HARRISON MANLEY (MEMBER) |
Authorized Official Telephone | 4197287010 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Street Address |
1069 KLOTZ RD |
City | BOWLING GREEN |
State | OH |
Zip Code | 43402-4828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700862950 | Terry L Jolliff | Physical Therapist | 1069 Klotz Rd, Bowling Green, OH 43402-4820 | 2005-12-20 |
1922620608 | Americare Ohio Group LLC | Skilled Nursing Facility | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2020-05-15 |
1538643614 | Brooke Warnecke | Nurse Practitioner | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2018-09-24 |
1952857583 | Michael Travis | Physical Therapist | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2016-09-01 |
1033569728 | Northwest Ohio Orthopedics and Sports Medicine Inc | Durable Medical Equipment & Medical Supplies | 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4828 | 2016-06-14 |
1437552288 | Heritage Corner Health Care Campus | Assisted Living Facility | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2014-10-07 |
1407289499 | Alfreda Hegemier | Speech-Language Pathologist | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2013-08-14 |
1992057608 | Ma Florence Veneracion Mojica | Physical Therapist | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2012-10-04 |
1215287669 | Karen Anne Schieltz | Physical Therapy Assistant | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2012-09-13 |
1518226331 | Americare Ohio Group LLC | Skilled Nursing Facility | 1069 Klotz Rd, Bowling Green, OH 43402-4820 | 2012-05-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
Find all providers in zip 43402 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144636986 | Western Kentucky University Speech Clinic | Clinic/Center | 104 Alumni Ave, Bowling Green, KY 42101-3404 | 2014-07-01 |
1669510517 | Acsr, Inc. | Clinic/Center | 946 Searcy Way, Unit B, Bowling Green, KY 42103-7168 | 2007-02-02 |
1841261914 | Phoenix Rehab Group, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2006-01-27 |
1548631104 | Fostoria Hospital Association | Clinic/Center | 1180 N Main St, Suite 1 & 2, Bowling Green, OH 43402-1388 | 2015-10-08 |
1437332178 | Phoenix Rehab, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2007-12-17 |
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1215569728 | Rehabclinics (spt), Inc. | Clinic/Center | 5999 Meijer Dr, Milford, OH 45150-2191 | 2020-02-12 |
1417592486 | Bick's Driving School of Western Hills | Clinic/Center | 6367 Glenway Ave, Cincinnati, OH 45211-6301 | 2019-11-13 |
1326506593 | Gehad I Quraan | Clinic/Center | 5139 W 140th St, Cleveland, OH 44142-1755 | 2019-03-06 |
1568970077 | Challenged Champions Equestrian Center, Inc. | Clinic/Center | 11913 Road 6, Ottawa, OH 45875 | 2018-01-18 |
1669994620 | Kent State University | Clinic/Center | 350 Midway Dr Macc Anx Rm 123, Kent, OH 44242-0001 | 2017-07-12 |
1871022046 | Mentis Ohio, LLC | Clinic/Center | 6111 Oak Tree Blvd, Independence, OH 44131-2589 | 2017-06-09 |
1215460621 | Athena Therapy Holding Co | Clinic/Center | 798 E Liberty St, Girard, OH 44420-2316 | 2017-04-04 |
1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
1467819805 | Physiotherapy Associates, Inc | Clinic/Center | 3148a West Central Avenue, Toledo, OH 43606-2920 | 2016-01-15 |
1336517689 | Absolute Rehabilitation&consulting Services, Inc | Clinic/Center | 7171 Keck Park Cir Nw Ste 128, North Canton, OH 44720-6301 | 2015-09-03 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 43402 |
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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.