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Contact Information

CT OHIO ENGLEWOOD LLC
425 LAURICELLA COURT
ENGLEWOOD, OH45322
 Phone: 937-836-5143
 Fax: 937-836-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for CT OHIO ENGLEWOOD LLC

NPI Number 1699262253
LBN Legal business name CT OHIO ENGLEWOOD LLC
Authorized official RAFAEL MOERMAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2018
Last updated 04/23/2025 - More than a year ago
Identifiers
OH Medicaid 141225
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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