Courtyard at Centerville

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COURTYARD AT CENTERVILLE

Practice address

10400 Randall Park Dr
Centerville, OH 45458-5810

Phone

(312) 623-0884

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Ostrom

Title

Manager

Phone

(312) 623-0884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1215775374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064702",
            "telephone_number": "312-623-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 RANDALL PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454585810",
            "telephone_number": "312-623-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD AT CENTERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-623-0884"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Centerville, OH
• Providers in Centerville, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.