Provider Demographics
NPI:1437982543
Name:ALTERCARE OF NARVARRE ASSISTED LIVING - ROCHESTER PARK
Entity type:Organization
Organization Name:ALTERCARE OF NARVARRE ASSISTED LIVING - ROCHESTER PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTS RECEIVABLE
Authorized Official - Prefix:
Authorized Official - First Name:TATE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-498-3722
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:44232-0550
Mailing Address - Country:US
Mailing Address - Phone:330-498-3722
Mailing Address - Fax:330-498-3722
Practice Address - Street 1:517 PARK ST NW
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:OH
Practice Address - Zip Code:44662-9267
Practice Address - Country:US
Practice Address - Phone:330-879-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERCARE OF NAVARRE CENTER FOR REHABILITATION AND NURSING CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility