Organization · Type 2 NPI

Wayside Farm Inc.

Nursing Facility/Intermediate Care Facility · Peninsula, OH

NPI number 1306870738 Active

Practice location

4557 Quick Rd
Peninsula, OH 44264-9708

Fax (330) 923-1201

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X1279 (OH)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

4 other providers at this address

About NPI 1306870738

Wayside Farm Inc.'s National Provider Identifier is 1306870738, issued on Jul 10, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Peninsula, OH. The record was last updated on May 29, 2026.