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Contact Information

SOUTH BROADWAY HEALTHCARE GROUP, INC.
245-251 SOUTH BROADWAY
NEW PHILADELPHIA, OH44663
 Phone: 330-339-2151
 Fax: 330-339-7099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for SOUTH BROADWAY HEALTHCARE GROUP, INC.

NPI Number 1821190158
LBN Legal business name SOUTH BROADWAY HEALTHCARE GROUP, INC.
Authorized official WILLIAM WEISBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/05/2006
Last updated 12/14/2021 - About 4 years ago
Identifiers
OH License # 6389
OH Medicaid 2334012
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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