NPIMap

Organization Active NPI

Otterbein Lebanon Retirement Living Community

  • Adult Day Care Clinic/Center
  • Lebanon, OH
National Provider Identifier
1124906581
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY
Practice address
585 N State Route 741
Lebanon, OH 45036-3313
Phone
(513) 696-8567
NPI assigned
Aug 25, 2025
Organization subpart
Yes
Parent organization
OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
James Green, CPA
Title
Chief Financial Officer
Phone
(513) 933-5418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

585 N State Route 741
Lebanon, OH 45036-3313

Mailing address

3855 Lower Market St Ste 300
Lebanon, OH 45036-7654
Phone (513) 933-5401

Other names 1

  • Otterbein Lebanon Adult Day Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Otterbein Lebanon Retirement Living Community4 organizations share this tax ID, including this one
Part of
Otterbein Lebanon Retirement Living Community

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1124906581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 LOWER MARKET ST STE 300",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367654",
            "telephone_number": "513-933-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N STATE ROUTE 741",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450363313",
            "telephone_number": "513-696-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-933-5418",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otterbein Lebanon Adult Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.