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NPI Code Detail

MEDICARE: KARL HC, LLC

MEDICARE: KARL HC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1660NOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053315945
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARL HC, LLC
Provider Business Mailing Address
First Line : 25000 COUNTRY CLUB BLVD
Second Line : SUITE 255
City : NORTH OLMSTED
State : OH
Zip : 44070-5344
Country : US
Telephone Number : 440-614-0160
Fax Number : 440-614-0168
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 614-846-5420
Fax Number : 614-854-7830
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN COLLERAN
Credential :
Telephone Number : 440-614-0160
Provider Enumeration Date : 06/08/2005
Last Update Date : 06/16/2014

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