AMBERWOOD MANOR – NPI #1821190158
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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Health Care Provider Taxonomy Code for Skilled Nursing Facility

AMBERWOOD MANOR is a skilled nursing facility (SNF) located in NEW PHILADELPHIA, OH. NPPES has assigned the NPI number 1821190158 to AMBERWOOD MANOR on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMBERWOOD MANOR” is a dba name, the actual legal business name for this organization is SOUTH BROADWAY HEALTHCARE GROUP, INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 4 years ago on Dec 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMBERWOOD MANOR below.

NPI Profile for
SOUTH BROADWAY HEALTHCARE GROUP, INC.

NPI Number
1821190158
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BROADWAY HEALTHCARE GROUP, INC.
Doing Business As (dba): AMBERWOOD MANOR
Primary location
245-251 SOUTH BROADWAY
NEW PHILADELPHIA, OH 44663
Phone: (330) 339-2151 Fax: (330) 339-7099
Mailing address
Same as primary location
Organization Subpart
Yes - AMBERWOOD MANOR is subpart of another organization.
Authorized Official
WILLIAM WEISBERG
PRESIDENT
Phone: (216) 292-5706
Updated
Certification Date
Dec 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMBERWOOD MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2334012
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)		 OH 6389

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.