Provider Demographics
NPI:1811015951
Name:HEALTHCARE MANAGEMENT COUNSULTANTS, INC
Entity Type:Organization
Organization Name:HEALTHCARE MANAGEMENT COUNSULTANTS, INC
Other - Org Name:COLONIAL NURSING CENTER OF ROCKFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OWNER OF MORE TH
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMBERT-BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-234-0713
Mailing Address - Street 1:201 BUCKEYE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45882-9266
Mailing Address - Country:US
Mailing Address - Phone:419-363-2193
Mailing Address - Fax:419-363-2460
Practice Address - Street 1:201 BUCKEYE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:OH
Practice Address - Zip Code:45882-9266
Practice Address - Country:US
Practice Address - Phone:419-363-2193
Practice Address - Fax:419-363-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5987314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2227950Medicaid
OH2227950Medicaid