1134116130 NPI number — BALTIC AVENUE ENTERPRISES, LLC

Table of content: (NPI 1134116130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134116130 NPI number — BALTIC AVENUE ENTERPRISES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALTIC AVENUE ENTERPRISES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DBA PLEASANT VIEW NURSING HOME
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134116130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7451 PLEASANT VIEW DR
Provider Second Line Business Mailing Address:
P.O. BOX 472
Provider Business Mailing Address City Name:
LISBON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44432-9462
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-424-3721
Provider Business Mailing Address Fax Number:
330-424-7426

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7451 PLEASANT VIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LISBON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44432-9462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-424-3721
Provider Business Practice Location Address Fax Number:
330-424-7426
Provider Enumeration Date:
10/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CHESNEY
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER/ADMINISTRATOR
Authorized Official Telephone Number:
330-424-3721

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  5631 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2124525 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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