THE INN AT BEAR TRAIL LLC NPI 1750828604

NPI Information

NPI: 1750828604
Provider Name: THE INN AT BEAR TRAIL LLC

Doing Business As: INN AT BEAR TRAIL

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
8199 MONROE DR
LEWIS CENTER, OH
ZIP 43035
Phone: (740) 879-3181
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THE INN AT BEAR TRAIL LLC is an assisted living facility in Lewis Center, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE INN AT BEAR TRAIL LLC NPI is 1750828604. The provider is registered as an organization entity type.
The provider Is Doing Business As Inn At Bear Trail.

The provider's business location address is:

8199 MONROE DR
LEWIS CENTER, OH
ZIP 43035-682
Phone: (740) 879-3181

The provider's authorized official is Nancy Enciso .
The authorized official title is Executive Director and has the following contact phone number (740) 879-3181.

The CLIA number assigned to this NPI record is 36D2116498 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2745R	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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