Organization Active NPI

Mt. Healthy Christian Home, Inc.

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1154886224
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MT. HEALTHY CHRISTIAN HOME, INC.
Practice address
8097 Hamilton Ave
Cincinnati, OH 45231-2321
Phone
(513) 800-1674
Fax
(513) 931-5311
NPI assigned
Feb 4, 2019
Organization subpart
Yes
Parent organization
MT. HEALTHY CHRISTIAN HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Vickie L. Brashear
Title
Cfo
Phone
(513) 800-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8097 Hamilton Ave
Cincinnati, OH 45231-2321

Mailing address

8097 Hamilton Ave
Cincinnati, OH 45231-2321
Phone (513) 800-1674

Other identifiers 1

IdentifierTypeStateIssuer
2866304MedicaidOH

Other names 1

  • The Christian Village at Mt. Healthy Assisted Living Other name

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
36D0347080Mt Healthy Christian Village8097 Hamilton Ave, Cincinnati, OH 45231Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mt Healthy Christian HM2 organizations share this tax ID, including this one
Part of
Mt Healthy Christian HM

Other organizations with this tax ID 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1154886224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312321",
            "telephone_number": "513-800-1674",
            "fax_number": "513-931-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8097 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312321",
            "telephone_number": "513-800-1674",
            "fax_number": "513-931-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HEALTHY CHRISTIAN HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT. HEALTHY CHRISTIAN HOME, INC.",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "BRASHEAR",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-800-1674"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866304",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Christian Village at Mt. Healthy Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 4, 2019; 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.