Organization Active NPI

The Oaks of West Kettering

  • Skilled Nursing Facility
  • Kettering, OH
National Provider Identifier
1073611356
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OH00541 Issued in OH
Legal business name
THE OAKS OF WEST KETTERING
Practice address
1150 W Dorothy LN
Kettering, OH 45409-1305
Phone
(937) 293-1152
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Ms. Jana Smith
Title
Ar Co-Ordinator
Phone
(937) 277-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OH00541 OH
Skilled Nursing Facility 314000000X OH00541 OH Primary

Addresses

Primary practice location

1150 W Dorothy LN
Kettering, OH 45409-1305

Mailing address

1150 W Dorothy LN
Kettering, OH 45409-1305
Phone (937) 293-1152

Other identifiers 1

IdentifierTypeStateIssuer
2549442MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1073611356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091305",
            "telephone_number": "937-293-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091305",
            "telephone_number": "937-293-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAKS OF WEST KETTERING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "AR CO-ORDINATOR",
        "authorized_official_telephone_number": "937-277-0505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "OH00541",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "OH00541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.