Provider Demographics
NPI:1447476379
Name:LANCIA NURSING HOME INC
Entity type:Organization
Organization Name:LANCIA NURSING HOME INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-264-7101
Mailing Address - Street 1:1852 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3328
Mailing Address - Country:US
Mailing Address - Phone:740-264-7101
Mailing Address - Fax:
Practice Address - Street 1:1852 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3328
Practice Address - Country:US
Practice Address - Phone:740-264-7101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000314075OtherANTHEM OT
OH000000314109OtherANTHEM ST
OH000000157177OtherANTHEM
OH000000314098OtherANTHEM PT
OH0184947Medicaid
OH000000314075OtherANTHEM OT