Provider Demographics
NPI:1588669899
Name:JO-LIN HEALTH CENTER INC.
Entity Type:Organization
Organization Name:JO-LIN HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HEABERLIN
Authorized Official - Suffix:II
Authorized Official - Credentials:LNHA
Authorized Official - Phone:740-532-6096
Mailing Address - Street 1:1050 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2876
Mailing Address - Country:US
Mailing Address - Phone:740-532-6096
Mailing Address - Fax:740-532-6011
Practice Address - Street 1:1050 CLINTON ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2876
Practice Address - Country:US
Practice Address - Phone:740-532-6096
Practice Address - Fax:740-532-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1547N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0258091Medicaid
OH0258091Medicaid
OH0224670001Medicare NSC
OH365564Medicare Oscar/Certification