Organization · Type 2 NPI

Harborside Troy, LLC

Skilled Nursing Facility · Troy, OH

NPI number 1487761565 Active

Practice location

512 Crescent Dr
Troy, OH 45373-2718

Call (937) 335-7161 Map

Fax (937) 335-0686

Mailing address

101 Sun Ave NE, Compliance Department
Albuquerque, NM 87109-4373

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	5089 (OH)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

34 other providers at this address

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NPI record

NPI: 1487761565
Entity type: Organization (Type 2)
Issued: Aug 24, 2006
Last updated: Oct 1, 2009
Status: Active
Subpart: Yes of Sunbridge Healthcare Corporation

Other names

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Troy Care and Rehabilitation Center · doing business as

Authorized official

William A Mathies
President Director
(505) 821-3355

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487761565

Harborside Troy, LLC's National Provider Identifier is 1487761565, issued on Aug 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Troy, OH. The record was last updated on Oct 1, 2009.