Organization Active NPI

The Lodge Retirement Living LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1235037359
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE LODGE RETIREMENT LIVING LLC
Practice address
12050 Montgomery Rd
Cincinnati, OH 45249-2003
Phone
(513) 951-3851
Fax
(513) 683-3709
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Kevin Daubenmire
Title
Medicare Authorized Official
Phone
(847) 555-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12050 Montgomery Rd
Cincinnati, OH 45249-2003

Mailing address

229 Route 70 Ste 100
Toms River, NJ 08755-1026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1235037359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 ROUTE 70 STE 100",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492003",
            "telephone_number": "513-951-3851",
            "fax_number": "513-683-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE RETIREMENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "DAUBENMIRE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-555-0110"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 28, 2026; 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.