Provider Demographics
NPI:1497854061
Name:THE ORCHARDS MANAGEMENT, LLC
Entity Type:Organization
Organization Name:THE ORCHARDS MANAGEMENT, LLC
Other - Org Name:THE ORCHARDS OF EAST LIVERPOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-387-0101
Mailing Address - Street 1:709 ARMSTRONG LN
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-1245
Mailing Address - Country:US
Mailing Address - Phone:330-385-3600
Mailing Address - Fax:330-385-6506
Practice Address - Street 1:709 ARMSTRONG LN
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-1245
Practice Address - Country:US
Practice Address - Phone:330-385-3600
Practice Address - Fax:330-385-6506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1283314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0036240Medicaid
OH366309Medicare ID - Type UnspecifiedPROVIDER