Harborside Troy, LLC

Skilled Nursing Facility · Troy, OH

Organization Active NPI

NPI number 1487761565

Practice location

512 Crescent Dr
Troy, OH 45373-2718
Phone
(937) 335-7161
Fax
(937) 335-0686

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NPI record

NPI
1487761565
Entity type
Organization (Type 2)
Enumeration date
August 24, 2006
Last updated
October 1, 2009
Organization subpart
Yes
Parent organization
Sunbridge Healthcare Corporation

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 5089 OH

Mailing address

101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone
(505) 468-5604
Fax
(505) 468-4681

Authorized official

Name
William A Mathies
Title
President Director
Phone
(505) 821-3355

Other names

  • Troy Care and Rehabilitation Center

About Harborside Troy, LLC

Harborside Troy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 512 Crescent Dr, Troy, OH 45373-2718. The NPI number 1487761565 was assigned on August 24, 2006 and the record was last updated on October 1, 2009.

Harborside Troy, LLC lists a license in the registry: #5089 (OH) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is William A Mathies, President Director.

Frequently asked questions

What is the NPI number of Harborside Troy, LLC?

The NPI number is 1487761565.

What is the phone number of Harborside Troy, LLC?

The phone number listed for the practice location is (937) 335-7161.

Where is Harborside Troy, LLC located?

512 Crescent Dr, Troy, OH 45373-2718.

What is the taxonomy code for Harborside Troy, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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