GARDEN MANOR EXTENDED CARE CENTER INC. NPI 1396736716

NPI Information

NPI: 1396736716
Provider Name: GARDEN MANOR EXTENDED CARE CENTER, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6898 HAMILTON MIDDLETOWN ROAD
MIDDLETOWN, OH
ZIP 45044
Phone: (513) 424-5321
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GARDEN MANOR EXTENDED CARE CENTER, INC. is an assisted living facility in Middletown, 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. GARDEN MANOR EXTENDED CARE CENTER, INC. NPI is 1396736716. The provider is registered as an organization entity type.

The provider's business location address is:

6898 HAMILTON MIDDLETOWN ROAD
MIDDLETOWN, OH
ZIP 45044-859
Phone: (513) 424-5321
Fax: (513) 420-5367

The provider's authorized official is Kathleen Hammon .
The authorized official title is V.p. Marketing and has the following contact phone number (513) 699-4651.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 12/14/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	314000000X	Skilled Nursing Facility		2171	OHIO	No
2	310400000X	Assisted Living Facility		0987R	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000002966	OTHER	OHIO	ANTHEM BCBS
2	306753	MEDICAID	OHIO
3	365209	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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

NPI Synchronization or Removal

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