Provider Demographics
NPI:1619270253
Name:SCIOTO POINTE INC
Entity Type:Organization
Organization Name:SCIOTO POINTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BALASCOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-378-7693
Mailing Address - Street 1:159 CROCKER PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8131
Mailing Address - Country:US
Mailing Address - Phone:440-385-4377
Mailing Address - Fax:216-378-7695
Practice Address - Street 1:740 CANONBY PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2302
Practice Address - Country:US
Practice Address - Phone:440-385-4377
Practice Address - Fax:440-385-4371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH366313Medicare PIN