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Contact Information

MINERVA CONVALESCENT CENTER LLC
1035 EAST LINCOLNWAY
MINERVA, OH44657
 Phone: 330-868-4147
 Fax: 330-868-4148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MINERVA CONVALESCENT CENTER LLC

NPI # 1578511077
LBN Legal business name MINERVA CONVALESCENT CENTER LLC
Authorized official MICHAEL EPERESI - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 08/21/2020 - About 6 years ago
Identifiers
OH Medicaid 2515399
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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