MEDICARE: FHS CENTERVILLE, 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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1447842745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHS CENTERVILLE, INC.

Provider Business Mailing Address
First Line	:	25000 COUNTRY CLUB BLVD STE 255
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-5337
Country	:	US
Telephone Number	:	440-614-0160
Fax Number	:	440-614-0168

Provider Business Practice Location Address
First Line	:	250 W SOCIAL ROW RD
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-4404
Country	:	US
Telephone Number	:	937-886-8800
Fax Number	:	937-886-8901

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	SANDY MUIR
Credential	:
Telephone Number	:	440-793-2245

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	06/01/2026

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Directions to “FHS CENTERVILLE, INC. ” Practice Location

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