An individual, often licensed by the state, who is responsible for the management of a nursing home.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Nursing Home Administrator | 376G00000X |
| Community Health Worker | 172V00000X |
* Indicates primary specialty
| NPI Number | 1184340143 |
| Credentials | DBA |
| Entity | Individual |
| Enumeration date | 10/12/2022 |
| Last updated | 08/15/2025 - About 10 months ago |
| Sole proprietor1 | No |
| Identifiers | n/a |
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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