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NPI Code Detail

MEDICARE: HARRELL NURSING HOME

MEDICARE: HARRELL NURSING HOME
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 Facility111WV

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 : 1396729869
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRELL NURSING HOME
Provider Business Mailing Address
First Line : 7265 KENWOOD RD
Second Line : SUITE 300
City : CINCINNATI
State : OH
Zip : 45236-4400
Country : US
Telephone Number : 513-793-8804
Fax Number : 513-793-8799
Provider Business Practice Location Address
First Line : 2149 GREENBRIER ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-9623
Country : US
Telephone Number : 304-344-4268
Fax Number : 304-344-3889
Authorized Official
Title or Position : EXEC. VICE PRESIDENT
Name : MICHAEL SCHARFENBERGER
Credential : LNHA
Telephone Number : 513-793-8804
Provider Enumeration Date : 11/30/2005
Last Update Date : 11/26/2014

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Directions to “HARRELL NURSING HOME ” Practice Location

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