Organization
CHS - MT. HEALTHY, INC
Active
Other names
The Home at Hearthstone
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPEELMAN (PRESIDENT)
(330) 204-1040
Entity
Organization
Contact information
Practice address
8028 HAMILTON AVE, CINCINNATI, OH 45231-2322
(513) 521-2700
(513) 522-2894
Mailing address
782 W ORANGE RD, DELAWARE, OH 43015-8922
(330) 204-1040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2380-NH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2364052
—
OH
Enumeration date
12/01/2005
Last updated
06/12/2014
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