An individual, often licensed by the state, who is responsible for the management of a nursing home.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Nursing Home Administrator | 376G00000X |
| Emergency Medical Technician, Intermediate | 146M00000X | |
| Mental Health | 225XM0800X |
* Indicates primary specialty
| NPI Number | 1205458015 |
| Credentials | CLO, EMHO, NHA, LHCN |
| Entity | Individual |
| Enumeration date | 05/14/2020 |
| Last updated | 12/10/2025 - About 6 months ago |
| Sole proprietor1 | Yes |
| 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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