Close to Home II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2445R Issued in OH

Legal business name

CLOSE TO HOME II, LLC

Practice address

3712 Roosevelt Blvd
Middletown, OH 45044-6515

Phone

(513) 423-0111

Fax

(513) 423-0145

NPI assigned

Mar 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sharon K Hartwig

Title

Director

Phone

(513) 423-0111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1003057738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446515",
            "telephone_number": "513-423-0111",
            "fax_number": "513-423-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446515",
            "telephone_number": "513-423-0111",
            "fax_number": "513-423-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-423-0111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2445R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Greer Clark, PH.D.
• Margie Ann Clark, L.P.N.
• Suzanne Clark, AU.D.
• Jami Clarke
• Carol A Clemow
• Gary Arthur Cobb, M.D.
• Mallie Lena Cockerham
• Katie V. Cohen, CH
• Kelly M Cole, LISW
• Renee Lynn Cole

• Assisted Living Facility in Middletown, OH
• Providers in Middletown, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.