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NPI Code Detail

MEDICARE: SACRED HEART NURSING CENTER

MEDICARE: SACRED HEART NURSING CENTER
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 Facility365962OH

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 : 1043294390
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART NURSING CENTER
Provider Business Mailing Address
First Line : 60 WEST ST
Second Line :
City : GENEVA
State : OH
Zip : 44041-9723
Country : US
Telephone Number : 440-466-1181
Fax Number : 440-466-9165
Provider Business Practice Location Address
First Line : 60 WEST ST
Second Line :
City : GENEVA
State : OH
Zip : 44041-9723
Country : US
Telephone Number : 440-466-1181
Fax Number : 440-466-9165
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. SUSAN KNOWLSON
Credential :
Telephone Number : 440-466-1181
Provider Enumeration Date : 11/30/2005
Last Update Date : 08/22/2020

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Directions to “SACRED HEART NURSING CENTER ” Practice Location

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