Active NPI
Clifton Care Center, Inc.
- Skilled Nursing Facility
- Cincinnati, OH
National Provider Identifier
1245643857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1567N
- Legal business name
- CLIFTON CARE CENTER, INC.
- Practice address
- 625 Probasco St
Cincinnati, OH 45220-2710 - Phone
- (513) 281-2464
- Fax
- (513) 281-2559
- NPI assigned
- Jun 11, 2014
- Last updated
- Jun 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Humbert
- Title
- Contract
- Phone
- (513) 530-1622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1567N | OH | Primary |
Addresses
Primary practice location
625 Probasco St
Cincinnati, OH 45220-2710
Mailing address
4700 Ashwood Drive
Suite 200
Cincinnati, OH 45241
Phone (513) 489-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0234428 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402444800000",
"number": "1245643857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 ASHWOOD DRIVE",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45241",
"telephone_number": "513-489-7100",
"fax_number": "513-489-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 PROBASCO ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202710",
"telephone_number": "513-281-2464",
"fax_number": "513-281-2559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A",
"authorized_official_last_name": "HUMBERT",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "CONTRACT",
"authorized_official_telephone_number": "513-530-1622",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1567N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0234428",
"state": "OH"
}
],
"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 Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.