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Park Haven Inc
Nursing Facility/Intermediate Care Facility in Ashtabula, Ohio
NPI 1114974243

Park Haven Inc is a Nursing Facility/Intermediate Care Facility based in Ashtabula, OH. Park Haven Inc practices in Ashtabula, OH. The NPI Number for Park Haven Inc is 1114974243 and holds a License No. 6091 (Ohio).

The current practice location address for Park Haven Inc is 4533 Park Ave, Ashtabula, OH and can be reached out via phone at 440-992-9441 and via fax at 440-992-7592.

Location: 4533 Park Ave, Ashtabula, OH, 44004-6439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114974243
Provider Name
Park Haven Inc
Credential
Provider Entity Type
Organization
Address
4533 Park Ave, Ashtabula, OH, 44004-6439
Phone Number
440-992-9441
Fax Number
440-992-7592
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0242553 05 OH
institution
Provider Business Practice Location Address Details
Address
4533 Park Ave
City
Ashtabula
State
Ohio
Zip
44004-6930
Phone Number
440-992-9441
Fax Number
440-992-7592
person
Provider Business Mailing Address Details
Address
4533 Park Ave
City
Ashtabula
State
Ohio
Zip
44004-6930
Phone Number
440-992-9441
Fax Number
440-992-7592
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
6091 (Ohio)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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