Provider Demographics
NPI:1508860180
Name:PLEASANT VIEW NURSING HOME, INC.
Entity Type:Organization
Organization Name:PLEASANT VIEW NURSING HOME, INC.
Other - Org Name:PLEASANT VIEW HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-745-6028
Mailing Address - Street 1:401 SNYDER AVE
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-4131
Mailing Address - Country:US
Mailing Address - Phone:330-745-6028
Mailing Address - Fax:330-681-1200
Practice Address - Street 1:401 SNYDER AVE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-4131
Practice Address - Country:US
Practice Address - Phone:330-745-6028
Practice Address - Fax:330-681-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1596N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6975662Medicaid
OH365406Medicare ID - Type UnspecifiedFEDERAL NUMBER