Three Rivers Nursing and Rehab Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6277 Issued in OH

Legal business name

THREE RIVERS NURSING AND REHAB CENTER

Practice address

7800 Jandaracres Dr
Cincinnati, OH 45248-2032

Phone

(513) 941-0787

Fax

(513) 941-3970

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Greg C Johnson, LNHA-LSW

Title

Administrator

Phone

(513) 941-0787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1174521199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 JANDARACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482032",
            "telephone_number": "513-941-0787",
            "fax_number": "513-941-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 JANDARACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482032",
            "telephone_number": "513-941-0787",
            "fax_number": "513-941-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS NURSING AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-941-0787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA-LSW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.