NPIMap

Organization Active NPI

Hotel California by the Sea Cincinnati, LLC.

  • Substance Abuse Rehabilitation Facility
  • Blue Ash, OH
National Provider Identifier
1114535978
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOTEL CALIFORNIA BY THE SEA CINCINNATI, LLC.
Practice address
4365 Classic Dr
Blue Ash, OH 45241-2205
Phone
(888) 733-7755
NPI assigned
Jul 17, 2020
Organization subpart
Yes
Parent organization
HOTEL CALIFORNIA BY THE SEA CINCINNATI, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Bryan Bixler
Title
Chief Program Officer
Phone
(888) 733-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4365 Classic Dr
Blue Ash, OH 45241-2205

Mailing address

4705 Lake Forest Drive
Cincinnati, OH 45242

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2163043Hotel California by the Sea4365 Classic Drive, Blue Ash, OH 45241Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hotel California by the Sea Cincinnati LLC6 organizations share this tax ID, including this one
Part of
Hotel California by the Sea Cincinnati LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1114535978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 LAKE FOREST DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 CLASSIC DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412205",
            "telephone_number": "888-733-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL CALIFORNIA BY THE SEA CINCINNATI, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOTEL CALIFORNIA BY THE SEA CINCINNATI, LLC.",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "BIXLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "888-733-7755"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.