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MALLARD COVE SENIOR DEVELOPMENT LLC NPI 1073127486


NPI Information

NPI: 1073127486
Provider Name: MALLARD COVE SENIOR DEVELOPMENT, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D1024889

Address:
1410 MALLARD COVE DR
CINCINNATI, OH
ZIP 45246
Phone: (513) 772-6655
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MALLARD COVE SENIOR DEVELOPMENT, LLC is an assisted living facility in Cincinnati, 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. MALLARD COVE SENIOR DEVELOPMENT, LLC NPI is 1073127486. The provider is registered as an organization entity type.

The provider's business location address is:

1410 MALLARD COVE DR
CINCINNATI, OH
ZIP 45246-920
Phone: (513) 772-6655

The provider's authorized official is Jonathan R Levey .
The authorized official title is Managing Member and has the following contact phone number (213) 705-9397.

The CLIA number assigned to this NPI record is 36D1024889 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 9/2/2020.


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 FacilityYes

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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