Provider Demographics
NPI:1861727448
Name:ACUTE NURSING CARE LLC
Entity type:Organization
Organization Name:ACUTE NURSING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-452-1554
Mailing Address - Street 1:64979 OLD TWENTY ONE RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9619
Mailing Address - Country:US
Mailing Address - Phone:888-306-5329
Mailing Address - Fax:866-365-8440
Practice Address - Street 1:64979 OLD TWENTY ONE RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9619
Practice Address - Country:US
Practice Address - Phone:888-306-5329
Practice Address - Fax:866-365-8440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3101833Medicaid
368332Medicare Oscar/Certification