=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275724346
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORION AUSTINBURG LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2007
-----------------------------------------------------
Last Update Date | 06/02/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2026 STATE ROUTE 45
-----------------------------------------------------
City | AUSTINBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44010-9711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-275-3019
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 EASTON OVAL STE 210
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43219-6224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-416-0600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. DONALD D. FINNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-416-0600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------