Villa Georgetown

LBN: Covenant Care Ohio, Inc
Villa Georgetown is an health care organization with primary practice located at 8065 Dr Faul Rd , Georgetown OH 45121-8811. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Covenant Care Ohio, Inc can be contacted via phone (937) 378-4178, or through Sparks, Carol A via phone (949) 349-1200.

Contact Information

Primary practice address
8065 Dr Faul Rd Georgetown OH 45121-8811
Phone: (937) 378-4178
Fax: (937) 378-3107
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Carol A
Phone: (949) 349-1200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5494 Ohio

Profile Details

NPI number 1184612707
LBN Legal business name Covenant Care Ohio, Inc
DBA Doing business as Villa Georgetown
Authorized official Sparks, Carol A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Oct 28th, 2008 - about 18 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 1184612707 NPPES
Ohio MEDICAID 2056340

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