OrganizationActive
Wayside Farm Inc.
NPI 1306870738 · Nursing Facility/Intermediate Care Facility · Peninsula, OH
Provider details
- NPI number
- 1306870738
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Pool, President(330) 923-7828
- License
- 1279 (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4557 Quick Rd
Peninsula, OH 44264-9708
Phone: (330) 923-7828
Fax: (330) 923-1201
Approximate (ZIP-level) locationGet directions
Mailing address
4557 Quick Rd
Peninsula, OH 44264-9794
Other names (DBA / former)
- Doing business as
- Wayside Farm Nursing and Rehab Center
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.