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Contact Information

HEARTLAND OF JACKSON OH, LLC
8668 STATE ROUTE
#93
JACKSON, OH45640
 Phone: 740-286-5026
 Fax: 740-286-0295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for HEARTLAND OF JACKSON OH, LLC

NPI Number 1962438051
LBN Legal business name HEARTLAND OF JACKSON OH, LLC
Authorized official MARTIN ALLEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2006
Last updated 05/23/2017 - About 9 years ago
Identifiers
OH License # 1670N
OH Medicaid 2791706
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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