Evangelical Retirement Villages,Inc. of Dayton Dba Friendship Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2380 Issued in OH

Legal business name

EVANGELICAL RETIREMENT VILLAGES,INC. OF DAYTON DBA FRIENDSHIP VILLAGE

Practice address

5790 Denlinger Rd
Dayton, OH 45426-1838

Phone

(937) 838-5581

Fax

(937) 854-8203

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Peter D Crane

Title

President

Phone

(937) 837-5581

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245235845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261838",
            "telephone_number": "937-838-5581",
            "fax_number": "937-854-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261838",
            "telephone_number": "937-838-5581",
            "fax_number": "937-854-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL RETIREMENT VILLAGES,INC. OF DAYTON DBA FRIENDSHIP VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-837-5581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanie Estle
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• Douglas Eulberg, PA-C
• Aaron Evans
• Alexandria Louise Evans
• Amberly Rose Evans, CDCA
• Ashley Evans
• Bertha Ann Evans

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, 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 Aug 22, 2020; 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.