Provider Demographics
NPI:1376534610
Name:MILAN SKILLED NURSING, LLC
Entity Type:Organization
Organization Name:MILAN SKILLED NURSING, LLC
Other - Org Name:CONTINUING HEALTHCARE OF MILAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-772-1105
Mailing Address - Street 1:2875 CENTER RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-2319
Mailing Address - Country:US
Mailing Address - Phone:216-772-1105
Mailing Address - Fax:
Practice Address - Street 1:185 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:OH
Practice Address - Zip Code:44846-9765
Practice Address - Country:US
Practice Address - Phone:419-499-2576
Practice Address - Fax:419-499-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5359314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2052095Medicaid
1881778843OtherMEDICARE DME NPI
OH341893522OtherFEDERAL ID NUMBER-MANAGER
1881778843OtherMEDICARE DME NPI
OH341893522OtherFEDERAL ID NUMBER-MANAGER
OH1259200001Medicare NSC