Lebanon Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEBANON HEALTH CARE LLC

Doing business as

Lebanon Country Manor

Practice address

700 Monroe Rd
Lebanon, OH 45036-1409

Phone

(513) 932-0105

Fax

(513) 932-7232

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Judah Bienstock

Title

Managing Member

Phone

(314) 631-3000

Specialties & licenses 1

Addresses

Other names 1

• Lebanon Country Manor Doing business as

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1225455926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONROE RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361409",
            "telephone_number": "513-932-0105",
            "fax_number": "513-932-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONROE RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361409",
            "telephone_number": "513-932-0105",
            "fax_number": "513-932-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Country Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaylee Larue
• John C. Lawson-Myers, LSW
• Brittney Lynn Lay
• Leaap LLC
• Lebanon City School District
• Lebanon Healthcare Leasing, LLC
• Lebanon Hematologyoncology Inc
• Lebanon Medical Center, Inc
• Lebanon Nursing & Rehabilitation Center LLC
• Lebanon Petr Vaughan DDS LLC

• Skilled Nursing Facility in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.