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DIVERSICARE OF SEINA WOODS LLC NPI 1215314497


NPI Information

NPI: 1215314497
Provider Name: DIVERSICARE OF SEINA WOODS, LLC

Doing Business As: DIVERSICARE OF SIENA WOODS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6125 N MAIN ST
DAYTON, OH
ZIP 45415
Phone: (937) 278-8211
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DIVERSICARE OF SEINA WOODS, LLC is an assisted living facility in Dayton, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DIVERSICARE OF SEINA WOODS, LLC NPI is 1215314497. The provider is registered as an organization entity type.
The provider Is Doing Business As Diversicare Of Siena Woods.

The provider's business location address is:

6125 N MAIN ST
DAYTON, OH
ZIP 45415-110
Phone: (937) 278-8211
Fax: (937) 278-8046

The provider's authorized official is Kelly J Gill .
The authorized official title is President And Ceo and has the following contact phone number (615) 771-7575.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2379ROHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136-5819OTHEROHIOMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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