Provider Demographics
NPI:1164420899
Name:STRATFORD HEALTH, INC.
Entity Type:Organization
Organization Name:STRATFORD HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:REIMENSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:440-914-0900
Mailing Address - Street 1:7000 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:GLENWILLOW
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4304
Mailing Address - Country:US
Mailing Address - Phone:440-914-0900
Mailing Address - Fax:440-914-4943
Practice Address - Street 1:7000 COCHRAN RD
Practice Address - Street 2:
Practice Address - City:GLENWILLOW
Practice Address - State:OH
Practice Address - Zip Code:44139-4304
Practice Address - Country:US
Practice Address - Phone:440-914-0900
Practice Address - Fax:440-914-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6090310400000X
OH6089314000000X
OH4342430001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2271947Medicaid
OH7192322OtherAETNA PROVIDER
OH225902OtherANTHEM PRVIDER NUMBER
OH4342430001OtherDMERC
OH225902OtherANTHEM PRVIDER NUMBER
OH225902OtherANTHEM PRVIDER NUMBER