Provider Demographics
NPI:1760891246
Name:CLOSE TO HOME V INC
Entity Type:Organization
Organization Name:CLOSE TO HOME V INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-534-2143
Mailing Address - Street 1:5176 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:45710-9400
Mailing Address - Country:US
Mailing Address - Phone:740-698-3631
Mailing Address - Fax:740-698-4703
Practice Address - Street 1:5176 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OH
Practice Address - Zip Code:45710-9400
Practice Address - Country:US
Practice Address - Phone:740-698-3631
Practice Address - Fax:740-698-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility