Independence House

LBN: Blanchard Valley Continuing Care Services
Independence House is an health care organization with primary practice located at 1000 Independence Ave , Fostoria OH 44830-9614. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Blanchard Valley Continuing Care Services can be contacted via phone (419) 435-8505, or through Mundy, Bridgett Marie via phone (419) 435-8505.

Contact Information

Primary practice address
1000 Independence Ave Fostoria OH 44830-9614
Phone: (419) 435-8505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mundy, Bridgett Marie LNHA
Phone: (419) 435-8505

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 4444 Ohio
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1951N Ohio

Profile Details

NPI number 1275719049
LBN Legal business name Blanchard Valley Continuing Care Services
DBA Doing business as Independence House
Authorized official Mundy, Bridgett Marie LNHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2008
Last updated Sep 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275719049 NPPES
Ohio MEDICAID 2789791

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