Pristine Senior Living of Bellbrook, LLC
Organization Active NPI Skilled Nursing Facility · Bellbrook, OH
NPI 1215312285 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1215312285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PRISTINE SENIOR LIVING OF BELLBROOK, LLC
- Practice address
- 1957 N Lakeman Dr
Bellbrook, OH 45305-1245 - Phone
- (937) 848-7800
- NPI assigned
- Jul 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher T Cook
- Title
- Chief Executive Officer
- Phone
- (317) 408-8491
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OH | Yes |
Addresses
Primary practice location
1957 N Lakeman Dr
Bellbrook, OH 45305-1245
Mailing address
3301 W Purdue Ave
Muncie, IN 47304-6356
Phone (317) 408-8491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076748 | Medicaid | OH |
Other providers in Bellbrook, OH
- David Scott Nicholson
- Shelley A Ostdiek
- Crista Osterhage
- Karen Lee Ostrander
- Ann Marie Piselli
- Breana Ramus
- Michael John Randall
- Rar Optometry Inc
- Hannah Ruth Reckman
- Lauren Redfern
All providers in Bellbrook, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.