Organization Active NPI

Cottingham Retirement Community, Inc.

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1164933701
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1792R Issued in OH
Legal business name
COTTINGHAM RETIREMENT COMMUNITY, INC.
Practice address
3995 Cottingham Dr
Cincinnati, OH 45241-1680
Phone
(513) 563-3600
Fax
(513) 563-3717
NPI assigned
Oct 23, 2017
Organization subpart
Yes
Parent organization
COTTINGHAM RETIREMENT COMMUNITY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Bonnie Fraser
Title
Controller/Treasurer
Phone
(513) 487-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1792R OH Primary

Addresses

Primary practice location

3995 Cottingham Dr
Cincinnati, OH 45241-1680

Mailing address

3995 Cottingham Dr
Cincinnati, OH 45241-1680
Phone (513) 563-3600

Other identifiers 1

IdentifierTypeStateIssuer
2316158MedicaidOH

Other names 1

  • Cottingham Retirement Community-Asst Living Other name

National Provider Directory

National Provider Directory
Part of
Cottingham Retirement Community Inc

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": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1164933701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 COTTINGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411680",
            "telephone_number": "513-563-3600",
            "fax_number": "513-563-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 COTTINGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411680",
            "telephone_number": "513-563-3600",
            "fax_number": "513-563-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTINGHAM RETIREMENT COMMUNITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COTTINGHAM RETIREMENT COMMUNITY, INC.",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CONTROLLER/TREASURER",
        "authorized_official_telephone_number": "513-487-3635"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1792R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottingham Retirement Community-Asst 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 Oct 23, 2017; 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.