Mallard Cove Senior Development, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MALLARD COVE SENIOR DEVELOPMENT, LLC

Practice address

1410 Mallard Cove Dr
Cincinnati, OH 45246-3920

Phone

(513) 772-6655

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan R Levey

Title

Managing Member

Phone

(213) 705-9397

Specialties & licenses 1

Addresses

Other names 1

• Mallard Cove Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1073127486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MALLARD COVE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463920",
            "telephone_number": "513-772-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MALLARD COVE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463920",
            "telephone_number": "513-772-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLARD COVE SENIOR DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "LEVEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-705-9397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallard Cove Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann B Malinowski, CNP
• Barry C Malinowski, M.D.
• Julia Malkin, RN, CNP
• Antonio Raphael Malkoun, MD
• Christopher Mallaburn
• Brooke Mallett
• Shahla Mallick, MD
• Daniel P Mallon, MD
• Mallory Adler DDS LLC
• Ashley Mallory, MD

• Assisted Living Facility in Cincinnati, OH
• Providers in Cincinnati, 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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.