Provider Demographics
NPI:1780656454
Name:BELL NURSING HOME, INC
Entity Type:Organization
Organization Name:BELL NURSING HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MAISTROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-782-1561
Mailing Address - Street 1:42350 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43718-9727
Mailing Address - Country:US
Mailing Address - Phone:740-782-1561
Mailing Address - Fax:740-782-1567
Practice Address - Street 1:42350 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718-9727
Practice Address - Country:US
Practice Address - Phone:740-782-1561
Practice Address - Fax:740-782-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1500314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0069652Medicaid
OH0069652Medicaid