NPIMap

Organization Active NPI

Seniorlifestyle

  • Adult Care Home Facility
  • Cincinnati, OH
National Provider Identifier
1134568132
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
148696 Issued in OH
Legal business name
SENIORLIFESTYLE
Practice address
8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750
Phone
(513) 948-2308
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Nicole Schrenker
Title
LPN
Phone
(513) 948-2339

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 27068634A IN
Adult Care Home Facility 311ZA0620X 148696 OH Primary
Skilled Nursing Facility 314000000X 148696 OH
Pediatric Skilled Nursing Facility 3140N1450X 148696 OH
Respite Care 385H00000X 148696 OH
Respite Care 385H00000X 27068634A IN
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 27068634A IN
Long Term Care Hospital 282E00000X 148696 OH

Addresses

Primary practice location

8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750

Mailing address

325 Knollridge CT
Apt
Fairfield, OH 45014-8809
Phone (513) 600-1596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1134568132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KNOLLRIDGE CT",
            "address_2": "APT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148809",
            "telephone_number": "513-600-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 EVERGREEN RIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155750",
            "telephone_number": "513-948-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORLIFESTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "SCHRENKER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "513-948-2339"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IN",
            "license": "27068634A",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "148696",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "148696",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "148696",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "148696",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "IN",
            "license": "27068634A",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IN",
            "license": "27068634A",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "148696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.