CMS-1500 Box 24J / 33a • NPI
1093145476
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
314000000X (CMS A1[8])
Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)
Box 32 Service Location & ZIP+4
400 N 7TH ST, MARIETTA, OH, 45750-2024
✓ 9-Digit EDI 837 ZIP+4 (45750-2024)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093145476 (JENNA LONG, LPTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093145476 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNA LONG, LPTA |
| Plain-English Specialty | Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: 314000000X (Skilled Nursing Facility) |
| Certifying / Licensing Body | CMS Five-Star Quality Rating System / State Department of Health |
| Practice Location Address | 400 N 7TH ST, MARIETTA, OH, 45750-2024 |
| Practice Telephone / Fax | Tel: (740) 373-3597 | Fax: (740) 373-3915 |
| Administrative Mailing Address | 2420 LAUREL RIDGE RD, LOWELL, OH, 45744-7435 |
| Enumeration & Last Sync | Enumerated: 2013-11-20 | CMS Record Updated: 2013-11-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (314000000X)
What Does Taxonomy Code 314000000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNA LONG, LPTA)
Typical CPT / Diagnostic Procedures:- 24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
- Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation
- Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
314000000X — Skilled Nursing FacilityPlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: OH | License: 007307 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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