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OTTERBEIN MAINEVILLE LLC NPI 1023337847


NPI Information

NPI: 1023337847
Provider Name: OTTERBEIN MAINEVILLE, LLC

Doing Business As: AVALON BY OTTERBEIN AT MAINEVILLE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 36D2007770

Address:
201 MARGE SCHOTT WAY
MAINEVILLE, OH
ZIP 45039
Phone: (513) 583-5161
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OTTERBEIN MAINEVILLE, LLC is a skilled nursing facility in Maineville, OH. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. OTTERBEIN MAINEVILLE, LLC NPI is 1023337847. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon By Otterbein At Maineville.

The provider's business location address is:

201 MARGE SCHOTT WAY
MAINEVILLE, OH
ZIP 45039-863
Phone: (513) 583-5161
Fax: (513) 583-1427

The provider's authorized official is James Chris Green .
The authorized official title is Treasurer & Cfo and has the following contact phone number (513) 933-5418.

The CLIA number assigned to this NPI record is 36D2007770 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 2/9/2015.


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
1314000000XSkilled Nursing FacilityNo
2314000000XSkilled Nursing Facility2574NOHIOYes

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: 11/14/2023

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