Provider Demographics
NPI:1659316594
Name:S.T.F., INC
Entity Type:Organization
Organization Name:S.T.F., INC
Other - Org Name:RON JOY NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-758-8106
Mailing Address - Street 1:830 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4213
Mailing Address - Country:US
Mailing Address - Phone:330-758-8106
Mailing Address - Fax:330-726-2234
Practice Address - Street 1:830 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4213
Practice Address - Country:US
Practice Address - Phone:330-758-8106
Practice Address - Fax:330-726-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5501314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0198316Medicaid
OH2517150001Medicare NSC
OH365760Medicare ID - Type Unspecified