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NPI Code Detail

MEDICARE: TRADITIONS CARE AND REHABILITATION, INC.

MEDICARE: TRADITIONS CARE AND REHABILITATION, INC.
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 Facility0343NOH

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 : 1427001577
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRADITIONS CARE AND REHABILITATION, INC.
Provider Business Mailing Address
First Line : 1011 N BYRNE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43607-2710
Country : US
Telephone Number : 419-536-7600
Fax Number : 419-536-7601
Provider Business Practice Location Address
First Line : 1011 N BYRNE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43607-2710
Country : US
Telephone Number : 419-536-7600
Fax Number : 419-536-7601
Authorized Official
Title or Position : ADMINISTRATOR OWNER
Name : MR. JOHN JAY STONE
Credential : LNHA
Telephone Number : 419-536-7600
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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