NPIMap

Organization Active NPI

Cardinal Virtues Long Term Care

  • Family Medicine Physician
  • Waverly, OH
National Provider Identifier
1164283750
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARDINAL VIRTUES LONG TERM CARE
Practice address
810 W 2ND St Unit a
Waverly, OH 45690-9433
Phone
(833) 227-3165
NPI assigned
Jan 19, 2024
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Sean D StiltnerNPI 1821156472
Title
Owner
Phone
(833) 227-3165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

810 W 2ND St Unit a
Waverly, OH 45690-9433

Mailing address

PO Box 429
Piketon, OH 45661-0429
Phone (833) 227-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415001922 OH Part B Supplier - Clinic/Group Practice 9133568868 Receives reassigned benefits from 8 practitioners
Practice locations: Waverly, OH

National Provider Directory

National Provider Directory

Locations

810 W 2nd St
#A
Waverly, OH 45690
Phone (740) 352-7733

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1164283750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456610429",
            "telephone_number": "833-227-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W 2ND ST UNIT A",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909433",
            "telephone_number": "833-227-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL VIRTUES LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "STILTNER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-227-3165"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.