Provider Demographics
NPI:1548243769
Name:LABELLE VIEW NURSING CENTER
Entity type:Organization
Organization Name:LABELLE VIEW NURSING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TARLE
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:740-282-4581
Mailing Address - Street 1:1336 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1523
Mailing Address - Country:US
Mailing Address - Phone:740-282-4581
Mailing Address - Fax:740-282-0378
Practice Address - Street 1:1336 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1523
Practice Address - Country:US
Practice Address - Phone:740-282-4581
Practice Address - Fax:740-282-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0214904Medicaid
OH366018Medicare ID - Type Unspecified