Provider Demographics
NPI:1891760963
Name:UVMC NURSING CARE, INC
Entity Type:Organization
Organization Name:UVMC NURSING CARE, INC
Other - Org Name:SPRINGMEADE HEALTHCENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/MIS
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GROEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-964-8974
Mailing Address - Street 1:4375 S COUNTY ROAD 25A
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-2956
Mailing Address - Country:US
Mailing Address - Phone:937-667-7500
Mailing Address - Fax:937-667-9339
Practice Address - Street 1:4375 S COUNTY ROAD 25A
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-2956
Practice Address - Country:US
Practice Address - Phone:937-667-7500
Practice Address - Fax:937-667-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0882880314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0882880Medicaid
OH365882Medicare ID - Type Unspecified