Healthcare Provider Details

I. General information

NPI: 1104904788
Provider Name (Legal Business Name): WEST CHESTER HEALTHCARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9117 COLUMBUS-CINCINNATI ROAD
WESTCHESTER OH
45069
US

IV. Provider business mailing address

9117 COLUMBUS-CINCINNATI ROAD
WESTCHESTER OH
45069
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-5706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0033N
License Number StateOH

VIII. Authorized Official

Name: WILLIAM I WEISBERG
Title or Position: VICE PRESIDENT
Credential:
Phone: 216-292-5706