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Carol I Peake Llc
Adult Care Home Facility in Sylvania, Ohio
NPI 1992015135

Carol I Peake Llc is an Adult Care Home Facility based in Sylvania, OH and is specialized in Adult Care Home. Carol I Peake Llc practices in Sylvania, OH. The NPI Number for Carol I Peake Llc is 1992015135 and holds a License No. 177151 (Ohio).

The current practice location address for Carol I Peake Llc is 5830 Woodrow Dr, Sylvania, OH and can be reached out via phone at 419-488-2089.

Location: 5830 Woodrow Dr, Sylvania, OH, 43560-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992015135
Provider Name
Carol I Peake Llc
Credential
Provider Entity Type
Organization
Address
5830 Woodrow Dr, Sylvania, OH, 43560-1245
Phone Number
419-488-2089
Fax Number
Provider Enumeration Date
10/20/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704194858 01 OH CAROL PEAKE, NP-C
177151 01 OH CAROL PEAKE, RN, BSN
2127186 01 MI CAROL PEAKE, BSN
4704194858 01 MI CAROL PEAKE, NP-C
institution
Provider Business Practice Location Address Details
Address
5830 Woodrow Dr
City
Sylvania
State
Ohio
Zip
43560-1245
Phone Number
419-488-2089
Fax Number
person
Provider Business Mailing Address Details
Address
5830 Woodrow Dr
City
Sylvania
State
Ohio
Zip
43560-1245
Phone Number
419-488-2089
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
1992015135 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
1467635664 (Ohio)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
person
Provider's Taxonomy Details 3
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
276400000X
License No.
177151 (Ohio)
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
person
Provider's Taxonomy Details 4
Type
Hospitals
Classification
Chronic Disease Hospital
Speciality
-
Taxonomy
281P00000X
License No.
2127186 (Ohio)
Definition
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
person
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
177151 (Ohio)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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