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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
13140N1450XPediatric Skilled 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 : 1114921939
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARL HC, LLC
Provider Business Mailing Address
First Line : 22021 BROOKPARK RD
Second Line : STE 123
City : FAIRVIEW PARK
State : OH
Zip : 44126-3100
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 : 06/09/2005
Last Update Date : 08/14/2008

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